KELLI DEANNE SHAW

ANTLERS, OK
NPI1104059732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1095)
Enumeration Date2009-08-31
Last Update Date2009-08-31
Business Address
Mrs. KELLI DEANNE SHAW P.T.A.
402 W MAIN ST
ANTLERS, OK 74523-2087
Phone number: 580-298-9818
Mailing Address
Mrs. KELLI DEANNE SHAW P.T.A.
402 W MAIN ST
ANTLERS, OK 74523-2087
Phone number: 580-298-9818
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