Gray, Shanna Rae

Gray, Shanna Rae is an sole proprietor health care provider with primary practice located at 4010 Blaine Rd , Shawnee OK 74804-1626. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gray, Shanna Rae can be contacted via phone (405) 833-2749.

Contact Information

Primary practice address
4010 Blaine Rd Shawnee OK 74804-1626
Phone: (405) 833-2749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT1801 Oklahoma

Profile Details

NPI number 1750589081
LBN Legal business name Gray, Shanna Rae
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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