Individual
MS. PEGGY DECELLE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12413 S LAND AVE, OKLAHOMA CITY, OK 73170-2031
(405) 691-6452
Mailing address
12413 S LAND AVE, OKLAHOMA CITY, OK 73170-2031
(405) 691-6452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1110
OK
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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