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Individual

MR. GARY ANTHONY HANDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
609 S KELLY AVE STE L4, EDMOND, OK 73003-7503
(405) 285-2455
(405) 285-2455
Mailing address
609 S KELLY AVE STE L4, EDMOND, OK 73003-7503
(405) 285-2455
(405) 285-2457

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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