Individual
KENDRA DANAE HISAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2020 ARLINGTON ST STE 3, ADA, OK 74820-2822
(580) 332-5124
(580) 332-5220
Mailing address
2020 ARLINGTON ST STE 3, ADA, OK 74820-2822
(580) 332-5124
(580) 332-5220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3320
OK
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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