Individual
MRS. KELLY JOHNSON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPH
Contact information
Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 744-2476
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2476
(918) 744-3075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1968
OK
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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