Individual
JOHN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 912-3055
(405) 912-3059
Mailing address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 912-3055
(405) 912-3059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4337
OK
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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