Individual
GINA MICHELE MOLSKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6400 N SANTA FE AVE STE B, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256
Mailing address
11205 GREENBRIAR CHASE, OKLAHOMA CITY, OK 73170-3218
(713) 294-7514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
150
OK
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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