Individual
SALLY B OXLEY
Active
Individual
SALLY B OXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
211
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720265
MOUNTAIN STATE BCBS
WV
05
—
0157027000
—
WV
05
—
0683407
—
OH
01
—
4348266
AETNA
—
01
—
65000032
RR MEDICARE
—
Enumeration date
03/31/2006
Last updated
06/03/2020
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