Individual
MR. PRAKASH GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3606 NORTH CINCINNATI, TULSA, OK 74106
(918) 428-5373
(918) 428-8235
Mailing address
PO BOX 2846, TULSA, OK 74101
(918) 241-7505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2037
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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