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Dusty K Dennis, PT

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

NPI number1427293448
StatusActive
Last updated in NPPESMar 9, 2017

Details

NPI
1427293448
Entity type
Individual (NPI-1)
Name
Dusty K Dennis
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 4, 2008
Last updated
Mar 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2326OKYes

Practice location

1414 Arlington St
Ste 2200
Ada, OK 74820-2694

Phone 580-371-8401 · Fax 580-371-8402

Mailing address

15269 County Road 3610
Ada, OK 74820-1395

Phone 580-371-8401 · Fax 580-371-8402

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