Individual
DAMON MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, PTA
Contact information
Practice address
6201 E 36TH ST, TULSA, OK 74135-5810
(918) 622-3430
Mailing address
8250 E 33RD ST, TULSA, OK 74145-1406
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
501
OK
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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