SHANE STOVALL, RPT

Physical Therapist

Active Individual
NPI: 1205929064

Practice Address

1405 4TH AVE NW # 296
Ardmore, OK 73401

Phone: (580) 795-4768

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 2905 (OK)

Frequently Asked Questions

NPI 1205929064 is the National Provider Identifier for SHANE STOVALL, RPT, a Physical Therapist provider located in Ardmore, OK. This NPI was enumerated on October 2, 2006.
SHANE STOVALL, RPT practices at 1405 4TH AVE NW # 296, Ardmore, OK 73401.

Quick Facts

NPI
1205929064
Type
Individual
Enumerated
Oct 2, 2006
Last Updated
Sep 22, 2009

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