| Mrs Idelle Ann Matthews, | |
|
3903 N Harrison St, Shawnee, OK 74804-1426 | |
| (405) 585-2971 | |
| (405) 585-2983 |
| Full Name | Mrs Idelle Ann Matthews |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 3903 N Harrison St, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689356511 | NPI | - | NPPES |
| 200692960 | Medicaid | OK | |
| 201153110 | Medicaid | OK | |
| 200560430 | Medicaid | OK | |
| 200259560 | Medicaid | OK | |
| 200860730 | Medicaid | OK | |
| 200868730 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Idelle Ann Matthews, 3903 N Harrison St, Shawnee, OK 74804-1426 Ph: (405) 585-2971 | Mrs Idelle Ann Matthews, 3903 N Harrison St, Shawnee, OK 74804-1426 Ph: (405) 585-2971 |
Emily Marie Hawkins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-395-3821 Fax: 405-395-3983 | |
Josiah Abram Hadsall, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3794 | |
Mr. Charles Ochieng' Awiti, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 535 W Federal St, Shawnee, OK 74804 Phone: 405-273-7661 | |
Julie Moore, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1318 E Independence St, Shawnee, OK 74804 Phone: 405-275-1801 | |
Maegan Bouye, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1318 E Independence St, Shawnee, OK 74804 Phone: 405-275-1801 | |
Baylee Nicole Ryan Hall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3903 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2971 Fax: 405-585-2983 | |
Robert Carter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 38137 Cabin Trl, Shawnee, OK 74804 Phone: 405-650-5391 |