Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelby Nicole Mondloch, OTA/L

Individual provider Occupational Therapy Assistant · NPI 1831741032

Shelby Nicole Mondloch, OTA/L is an Occupational Therapy Assistant in Broken Arrow, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019

Practice location Address checks out

4300 S Juniper Pl
Broken Arrow, OK 74011-2832
Phone: (918) 259-4420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1165 Brenner Rd, Sapulpa, OK 74066-6141 — (818) 224-0600

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1211 (OK)

Record details

NPI number1831741032
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA/L
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019

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