IndividualActive
Idelle Matthews
NPI 1689356511 · Pediatric Occupational Therapist · Shawnee, OK
Provider details
- NPI number
- 1689356511
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
3903 N Harrison St
Shawnee, OK 74804-1426
Phone: (405) 585-2971
Fax: (405) 585-2983
Approximate (ZIP-level) locationGet directions
Mailing address
3903 N Harrison St
Shawnee, OK 74804-1426
Registry dates
- Enumerated
- 2023-08-01
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.