Gina Nicole Kelley PTA

NPI 1376716100 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1376716100
Gender Female
Enumeration Date 04/13/2008
Last Updated 04/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1201 S DOUGLAS BLVD
SUITE I
MIDWEST CITY OK, 73130-5239, US
Phone (405) 610-8090
Fax
Business Location
1201 S DOUGLAS BLVD
SUITE I
MIDWEST CITY OK, 73130-5239, US
Phone (405) 610-8090
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 815
Remove 1376716100 NPI Number
 

According to our database, Gina Nicole Kelley PTA NPI is 1376716100, taxonomy code is 225200000X and license number is 815, license state is located at Oklahoma. Gina Nicole Kelley PTA physically located at 1201 S Douglas Blvd, Midwest City OK, 73130-5239. NPI Number Gina Nicole Kelley PTA has the Individual type.

Sponsored links

1376716100 NPI number is provided on an as is basis without warranty of any kind. 1376716100 is maintained by the National Plan & Provider Enumeration System. The contents of Gina Nicole Kelley PTA are for informational purposes only.