Virginia Irene Oldham PTA

NPI 1720284201 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1720284201
Gender Female
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3030 NW EXPRESSWAY ST
SUITE 809
OKLAHOMA CITY OK, 73112-5474, US
Phone (405) 917-7160
Fax
Business Location
2000 S MUSTANG RD
#512
YUKON OK, 73099-0306, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 1487
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According to our database, Mrs. Virginia Irene Oldham PTA NPI is 1720284201, taxonomy code is 225200000X and license number is 1487, license state is located at Oklahoma. Virginia Irene Oldham PTA physically located at 3030 Nw Expressway St, Oklahoma City OK, 73112-5474. NPI Number Virginia Irene Oldham PTA has the Individual type.

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1720284201 NPI number is provided on an as is basis without warranty of any kind. 1720284201 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Irene Oldham PTA are for informational purposes only.