Human Performance Center 7 Pc

NPI 1477730158 - Community Health Worker - 172V00000X

NPI Details
NPI 1477730158
Enumeration Date 01/25/2008
Last Updated 09/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CARRIE LYNN CARRIE
Position OWNER/PHYSICAL THERAPIST
Phone (405) 494-7070
Fax
Practice Location
740 S MUSTANG RD
YUKON OK, 73099-6777, US
Phone (405) 494-7070
Fax
Business Location
740 S MUSTANG RD
YUKON OK, 73099-6777, US
Phone (405) 494-7070
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Oklahoma
License Number 2776
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According to our database, Human Performance Center 7 Pc NPI is 1477730158, taxonomy code is 172V00000X and license number is 2776, license state is located at Oklahoma. Human Performance Center 7 Pc physically located at 740 S Mustang Rd, Yukon OK, 73099-6777. NPI Number 1033115704 has the healthcare provider type.

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1477730158 NPI number is provided on an as is basis without warranty of any kind. 1477730158 is maintained by the National Plan & Provider Enumeration System. The contents of Human Performance Center 7 Pc are for informational purposes only.