Individual
NICHOLAS RAY BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 TURTLE DR, WYANDOTTE, OK 74370-2114
(918) 678-2282
Mailing address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3136
OK
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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