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Individual

MS. TIFFANY NICHOLE CRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
4808 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 258-5000
(918) 459-7957
Mailing address
4808 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 258-5000
(918) 459-7957

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4707
OK

Other

Enumeration date
05/22/2013
Last updated
05/22/2013
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