Individual
RONDA LYNN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
205 E B ST, JENKS, OK 74037-3906
(918) 299-7937
(918) 298-4345
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200226060A
—
OK
Enumeration date
04/25/2007
Last updated
02/07/2021
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