Most Relevant Information
Provider Data
| NPI Number: | 1003029794 |
| Provider Name: | SHELLY ANN RAPOPORT OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 816 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
401 MORNINGSIDE DR
YUKON
OK
730993343
Practice Location Phone/Fax
| Phone: | 4053543980 |
| Fax: |
Provider Mailing Location
401 MORNINGSIDE DR
YUKON
OK
730993343
Provider Mailing Phone/Fax
| Phone: | 4053543980 |
| Fax: |