Individual
CLARA DENISE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1110 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5421
(918) 342-3800
(918) 342-3900
Mailing address
1110 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5421
(918) 342-3800
(918) 342-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2518
OK
Other
Enumeration date
05/22/2007
Last updated
12/04/2007
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