Individual
SHELBY JO-ANNE AVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3033
(918) 358-2501
Mailing address
3460 EVANS AVE, MANNFORD, OK 74044-3151
(918) 865-7142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3154
OK
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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