Individual
MRS. DAWN YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
13 W BROADWAY ST, SAND SPRINGS, OK 74063-7625
(918) 246-1436
Mailing address
12376 LAKEVIEW RD, SPERRY, OK 74073-4899
(918) 406-4856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
514
OK
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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