Individual
BETH ANN CASSODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1414 S DENVER AVE, TULSA, OK 74119-3423
(918) 712-7805
Mailing address
1414 S DENVER AVE, TULSA, OK 74119-3423
(918) 712-7805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
928
OK
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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