Individual
MRS. TERESA JO MCILROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6004
(918) 615-3722
(918) 615-3723
Mailing address
224 W DEER VALLEY DR, CATOOSA, OK 74015-2351
(918) 266-0427
(918) 266-0428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1361
OK
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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