Individual
MRS. MARTHA MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3754 E 45TH ST, TULSA, OK 74135
(918) 857-6374
Mailing address
3754 E 45TH ST, TULSA, OK 74135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35
OK
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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