Organization
CORE PT EDMOND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELA HARRIS (ADMINISTRATOR)
(512) 426-4106
Entity
Organization
Contact information
Practice address
1410 FRETZ DR, EDMOND, OK 73003-5872
(405) 285-8477
(405) 285-8499
Mailing address
1410 FRETZ DR, EDMOND, OK 73003-5872
(405) 285-8477
(405) 285-8499
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
11/15/2024
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