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Individual

BRIAN JAMES KANELAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
3705 W MEMORIAL RD, SUITE 301, OKLAHOMA CITY, OK 73134-1512
(405) 749-6281
(405) 936-6496
Mailing address
3705 W MEMORIAL RD, SUITE 301, OKLAHOMA CITY, OK 73134-1512
(405) 749-6281
(405) 936-6496

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4361
OK

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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