Individual
MICHAEL RAYMOND CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPTA
Contact information
Practice address
2408 E 81ST ST STE 300, TULSA, OK 74137-4200
(918) 477-5053
(918) 477-5040
Mailing address
2408 E 81ST ST STE 300, TULSA, OK 74137-4200
(918) 477-5053
(918) 477-5040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
770
OK
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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