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Pamela Thacker Kantner, RPT

Physical Therapist in Tulsa, OK. Individual provider (NPI-1).

NPI number1003036799
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003036799
Entity type
Individual (NPI-1)
Name
Pamela Thacker Kantner
Credential
RPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapistpt1123OKYes

Practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Phone 918-494-1471 · Fax 918-494-1494

Mailing address

4505 E 103rd St
Tulsa, OK 74137-5946

Phone 918-494-1443 · Fax 918-494-1494

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