Individual
DORI BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13893 RED ROCK AVE, BYARS, OK 74831-7609
(405) 570-6580
Mailing address
13893 RED ROCK AVE, BYARS, OK 74831-7609
(405) 570-6580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA312
OK
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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