Individual
CARRIE LEIGH MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
(918) 250-9976
Mailing address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
3554
OK
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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