Individual
DR. GRAYSON NEAL STARBUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS, FAAOMPT
Contact information
Practice address
1410 FRETZ DR, EDMOND, OK 73003-5872
(405) 285-8477
Mailing address
3000 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-6101
(405) 633-0783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4828
OK
Other
Enumeration date
10/30/2015
Last updated
02/23/2020
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