Matthew John Black MPT

NPI 1679769947 - Physical Therapist - 225100000X

NPI Details
NPI 1679769947
Gender Male
Enumeration Date 09/20/2007
Last Updated 06/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4004 S YALE AVE
TULSA OK, 74135-6017, US
Phone (918) 622-4126
Fax (918) 270-2398
Business Location
201 N 4TH ST
WEATHERFORD OK, 73096-4636, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oklahoma
License Number 4036
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According to our database, Mr. Matthew John Black MPT NPI is 1679769947, taxonomy code is 225100000X and license number is 4036, license state is located at Oklahoma. Matthew John Black MPT physically located at 4004 S Yale Ave, Tulsa OK, 74135-6017. NPI Number Matthew John Black MPT has the Individual type.

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1679769947 NPI number is provided on an as is basis without warranty of any kind. 1679769947 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew John Black MPT are for informational purposes only.