Individual
MRS. TONYA RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, CKTP
Contact information
Practice address
4808 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1482
Mailing address
14908 E 156TH ST S, BIXBY, OK 74008-7108
(918) 392-1482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3563
OK
2251S0007X
Sports Physical Therapist
3563
OK
2251X0800X
Orthopedic Physical Therapist
3563
OK
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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