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Individual

MRS. THANH TRAN HOANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2801 W GARY ST, BROKEN ARROW, OK 74012-7599
(918) 636-4413
Mailing address
2801 W GARY ST, BROKEN ARROW, OK 74012-7599
(918) 636-4413

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA919
OK

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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