Individual
MR. IBRAHIM MUSA SHAMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5148
Mailing address
701 NW 194TH TER, EDMOND, OK 73012-3413
(510) 815-3797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32322
CA
Other
Enumeration date
01/17/2007
Last updated
01/31/2024
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