Autumn Nicole Aneshansley MPT

NPI 1407012115 - Physical Therapist - 225100000X

NPI Details
NPI 1407012115
Gender Female
Enumeration Date 08/01/2008
Last Updated 08/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1111 S SAINT LOUIS AVE RM 2325
TULSA OK, 74120-5440, US
Phone (918) 619-4668
Fax (918) 619-4662
Business Location
3732 S LOUISVILLE AVE
TULSA OK, 74135-2244, US
Phone (580) 302-0571
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oklahoma
License Number 4099
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According to our database, Ms. Autumn Nicole Aneshansley MPT NPI is 1407012115, taxonomy code is 225100000X and license number is 4099, license state is located at Oklahoma. Autumn Nicole Aneshansley MPT physically located at 1111 S Saint Louis Ave Rm 2325, Tulsa OK, 74120-5440. NPI Number Autumn Nicole Aneshansley MPT has the Individual type.

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1407012115 NPI number is provided on an as is basis without warranty of any kind. 1407012115 is maintained by the National Plan & Provider Enumeration System. The contents of Autumn Nicole Aneshansley MPT are for informational purposes only.