Shane Stovall, RPT

NPI #1205929064 in Ardmore, Oklahoma

Provider Information

NPI Number: 1205929064
Entity Type: Individual
Name: Shane Stovall, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Oct 2, 2006
Last Updated: Sep 22, 2009

Practice Location

Address: 1405 4TH AVE NW # 296
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2708
Phone: (580) 795-4768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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