Individual
SHERYL GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
735 N FOREMAN ST, VINITA, OK 74301-1422
(918) 256-9207
(918) 256-9209
Mailing address
1805 OAK LN, MIAMI, OK 74354-1463
(918) 541-5351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02103
KS
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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