Individual
MS. SHANNON ELSON VAVERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2415 S GARLAND RD, ENID, OK 73703-7369
(580) 233-6512
Mailing address
2415 S GARLAND RD, ENID, OK 73703-7369
(580) 233-6512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-231
OK
Other
Enumeration date
10/27/2006
Last updated
03/28/2013
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