Individual
JEFFREY CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3814
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1077
OK
Other
Enumeration date
03/07/2008
Last updated
04/30/2013
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