Individual
AMANDA MICHELLE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 N BRYANT AVE, EDMOND, OK 73034-3206
(405) 230-9230
(405) 330-5591
Mailing address
400 N BRYANT AVE, EDMOND, OK 73034-3206
(405) 230-9230
(405) 330-5591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4018
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018
PT LICENSE
OK
Enumeration date
08/28/2007
Last updated
05/11/2010
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