Individual
PAMELA THACKER KANTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1471
(918) 494-1494
Mailing address
4505 E 103RD ST, TULSA, OK 74137-5946
(918) 494-1443
(918) 494-1494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1123
OK
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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