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Individual

MRS. AMBER DANIELLE PANKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
3705 W MEMORIAL RD, SUITE 310, OKLAHOMA CITY, OK 73134-1512
(405) 749-6281
(405) 936-6496
Mailing address
3705 W MEMORIAL RD, SUITE 310, OKLAHOMA CITY, OK 73134-1512
(405) 749-6281
(405) 936-6496

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251000008
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
710899209007
BCBS
OK
Enumeration date
06/26/2006
Last updated
11/09/2007
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