Individual
MRS. SONIA CATHERINE ENSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A., C.L.T.
Contact information
Practice address
612 W 18TH ST, EDMOND, OK 73013-3631
(405) 330-3994
(405) 330-4231
Mailing address
20326 ANTLER FARMS DR, EDMOND, OK 73012-0633
(405) 938-5882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1615
OK
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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