Shelby Nicole Mondloch, OTA/L
NPI #1831741032 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1831741032
- Entity Type
- Individual
- Name
- Shelby Nicole Mondloch, OTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- OTA/L
- Enumeration Date
- Jul 9, 2019
- Last Updated
- Jul 9, 2019
Practice Location
- Address
- 4300 S JUNIPER PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-2832
- Phone
- (918) 259-4420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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