Individual
MR. GARY ANTHONY HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
893
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215030614
BLUE CROSS AND BLUE SHIELD
OK
01
—
1730274739
BLUE CROSS AND BLUE SHIELD
OK
01
—
650002869
RAILROAD MEDICARE
—
01
—
731308028002
BLUE CROSS & BLUE SHIELD
—
Enumeration date
09/07/2006
Last updated
07/21/2022
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