Individual
JOEL NEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 226-5566
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 226-5566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5075
OK
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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