Haley Ekstrom PTA

NPI 1316343155 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1316343155
Gender Female
Enumeration Date 11/05/2014
Last Updated 11/05/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1414 S DENVER AVE
TULSA OK, 74119-3423, US
Phone (918) 712-7805
Fax
Business Location
212 W CENTRAL AVE
MIAMI OK, 74354-6803, US
Phone (785) 408-2390
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 2147
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According to our database, Haley Ekstrom PTA NPI is 1316343155, taxonomy code is 225200000X and license number is 2147, license state is located at Oklahoma. Haley Ekstrom PTA physically located at 1414 S Denver Ave, Tulsa OK, 74119-3423. NPI Number Haley Ekstrom PTA has the Individual type.

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1316343155 NPI number is provided on an as is basis without warranty of any kind. 1316343155 is maintained by the National Plan & Provider Enumeration System. The contents of Haley Ekstrom PTA are for informational purposes only.