Patricia L Shrader in Owasso - Pediatrics

Patricia L Shrader - NPI 1588863674

Patricia L Shrader is a Pediatrics in Owasso, Oklahoma. Patricia L Shrader practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patricia L Shrader is 1588863674. The last update date is 2008-04-16.

Patricia L Shrader's current location address is 12899 E 76th St N Unit No117, Owasso, Oklahoma. You can contact this provider via phone number 9196096003 and fax number 9186096002. The mailing address for Patricia L Shrader is 12899 E 76th St N Unit No117, Owasso, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia L Shrader
Address 12899 E 76th St N Unit No117, Owasso, Oklahoma
Phone Number 9196096003
Fax Number 9186096002
Sole Proprietor N
Credentials RPT

NPI Number Detail

NPI Number 1588863674
Provider Enumeration Date 2007-07-17
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address 12899 E 76th St N Unit No117
City Owasso
State Oklahoma (OK)
Post Code 740554026
Phone Number 9196096003
Fax Number 9186096002

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 2156
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Patricia L Shrader

What is the Patricia L Shrader's unique identification number?

The Patricia L Shrader has been assigned the NPI (National Provider Identifier) Number 1588863674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Patricia L Shrader is physically located?

The Patricia L Shrader is situated at the following address: 12899 E 76Th St N Unit No117, Owasso, OK 740554026.

What is Patricia L Shrader's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Patricia L Shrader is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.

On what date did the Patricia L Shrader receive its 1588863674 assignment from the Centers for Medicare & Medicaid Services?

The Patricia L Shrader was assigned its 1588863674 by the Centers for Medicare & Medicaid Services on 2007-07-17.

As of what date was the information pertaining to Patricia L Shrader, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patricia L Shrader, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-16.

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