Individual
THRESA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4815 S HARVARD AVE, SUITE 455, TULSA, OK 74135-3055
(918) 712-7805
(918) 712-7813
Mailing address
4815 S HARVARD AVE, SUITE 455, TULSA, OK 74135-3055
(918) 712-7805
(918) 712-7813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA592
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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