Individual
JOHNATHON DRAKE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1876 UTICA SQ STE 1B, TULSA, OK 74114-1452
(918) 720-5989
Mailing address
1876 UTICA SQ STE 1B, TULSA, OK 74114-1452
(918) 720-5989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5985
OK
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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