Individual
NICOLLE DIANE MURNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7738 N OWASSO EXPY, OWASSO, OK 74055-3338
(918) 928-4255
(918) 928-4258
Mailing address
7738 N OWASSO EXPY, OWASSO, OK 74055-3338
(918) 928-4255
(918) 928-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2403
OK
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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