Individual
TY HARRISON FAGLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
3341 S ELM PL, BROKEN ARROW, OK 74012-7924
(918) 449-1332
(918) 449-8732
Mailing address
3341 S ELM PL, BROKEN ARROW, OK 74012-7924
(918) 449-1332
(918) 449-8732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6819
OK
225800000X
Recreation Therapist
—
—
Other
Enumeration date
05/07/2021
Last updated
11/11/2025
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