Individual
COURTNEY AXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 BATTIEST PICKENS RD, BROKEN BOW, OK 74728-5198
(903) 701-6939
Mailing address
757 BATTIEST PICKENS RD, BROKEN BOW, OK 74728-5198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2354
OK
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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