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Tiffany Thompson

Physical Therapy Assistant in Tahlequah, OK. Individual provider (NPI-1).

NPI number1790378024
StatusActive
Last updated in NPPESFeb 17, 2021

Details

NPI
1790378024
Entity type
Individual (NPI-1)
Name
Tiffany Thompson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2021
Certification date
Feb 17, 2021
Last updated
Feb 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant3213OKYes

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Phone 539-234-1000

Mailing address

15759 N Bryant Rd
Tahlequah, OK 74464-1101

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Other Physical Therapy Assistant providers in Tahlequah, OK

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