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Individual

KESHA KARLYN CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
909 NW 12TH ST UNIT 4, OKLAHOMA CITY, OK 73106-6600
(918) 807-3441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5379
OK

Other

Enumeration date
05/21/2021
Last updated
07/18/2023
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