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Organization

JOYFUL HEART PEDIATRIC THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA ELAINE MESSMER-TUNNELL PT (PT, OWNER)
(918) 284-4220
Entity
Organization

Contact information

Practice address
2608 W KENOSHA ST # 496, BROKEN ARROW, OK 74012-8952
(918) 284-4220
(918) 249-2817
Mailing address
2608 W KENOSHA ST # 496, BROKEN ARROW, OK 74012-8952
(918) 284-4220
(918) 249-2817

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100665910C
OK
Enumeration date
07/27/2020
Last updated
07/27/2020
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