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Individual

EMMA KATHERINE NIBLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
104 N MAIN ST, THOMAS, OK 73669
(580) 661-3517
Mailing address
832 NW 49TH ST, OKLAHOMA CITY, OK 73118-6420
(405) 694-9690

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5640
OK

Other

Enumeration date
08/31/2020
Last updated
08/31/2020
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