Individual
CHRISTINE HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
1029 E. WASHINGTON AVE, MCALESTER, OK 74501
(918) 423-2220
(918) 423-2620
Mailing address
1 ORDNANCE WAY, MCALESTER, OK 74501
(757) 291-5276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2593
OK
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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