Individual
AUTUMN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(918) 806-0106
Mailing address
2750 N 7TH ST APT 3932, BROKEN ARROW, OK 74012-2873
(918) 313-6916
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3411
OK
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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