SHELLY RANAE WADDLE

OKLAHOMA CITY, OK
NPI1730386756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  473)
Enumeration Date2007-07-02
Last Update Date2007-07-08
Business Address
-- SHELLY RANAE WADDLE OTA
1013 SW 128TH ST
OKLAHOMA CITY, OK 73170-6951
Phone number: 405-691-3418
Mailing Address
-- SHELLY RANAE WADDLE OTA
1013 S.W. 128 ST
OKC, OK 73170
Phone number: