Rebecca Costello Shetlar, DPT

NPI #1063105658 in Wagoner, Oklahoma

Provider Information

NPI Number: 1063105658
Entity Type: Individual
Name: Rebecca Costello Shetlar, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 30, 2023
Last Updated: Jun 19, 2023

Practice Location

Address: 817 W CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4616
Phone: (812) 628-3060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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