Individual
DARREN MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4008 S YALE AVE, TULSA, OK 74135-6017
(918) 622-4278
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(812) 628-3060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
200507435
MO
225200000X
Physical Therapy Assistant
Primary
2349
OK
Other
Enumeration date
06/16/2007
Last updated
01/10/2023
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