Individual
DIANA IRENE EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1400 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1240
(405) 875-0040
Mailing address
9017 N UNIVERSITY AVE APT 15103, OKLAHOMA CITY, OK 73114-4313
(405) 264-7704
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
581
OK
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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