Individual
ALEX NEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2560 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 994-7864
(918) 994-7884
Mailing address
109 KERR AVE, POTEAU, OK 74953-5270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5570
OK
Other
Enumeration date
08/27/2018
Last updated
12/01/2020
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