Individual
SHELLY ROSE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
Mailing address
9406 E APPLE LN, CLAREMORE, OK 74019-0254
(918) 810-5322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1416
OK
224Z00000X
Occupational Therapy Assistant
Primary
1614
OK
Other
Enumeration date
01/11/2021
Last updated
04/23/2026
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