Individual
TARAH TUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11055 S MEMORIAL DR, TULSA, OK 74133-7362
(918) 369-3350
Mailing address
28291 OLD TARBY RD, POTEAU, OK 74953-7165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3469
OK
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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