Individual
MRS. AMANDA GRACE BARBOSA-GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
1600 E FARGO ST, BROKEN ARROW, OK 74012-8471
(918) 520-0430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5298
OK
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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