Individual
KENDRA FIXICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
503 N BROADWAY ST, TECUMSEH, OK 74873-2017
(405) 598-2899
Mailing address
PO BOX 3675, SHAWNEE, OK 74802-3675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3481
OK
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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