Individual
ELAINA NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W HARRISON AVE, GUTHRIE, OK 73044-4727
(405) 293-9892
(405) 293-9894
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6582
OK
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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