The Shine Pediatric Therapy Center

NPI #1023704236 in Chickasha, Oklahoma

Provider Information

NPI Number
1023704236
Entity Type
Organization
Organization Name
The Shine Pediatric Therapy Center
Primary Specialty
Occupational Therapist
Enumeration Date
Apr 12, 2023
Last Updated
Apr 12, 2023

Practice Location

Address
921 W MISSOURI AVE
ZIP Code
73018-4328
Phone
(405) 612-8396

Authorized Official

Name
JUSTIN WONDERLY
Title
OWNER
Phone
(405) 708-7172

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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