Individual
MS. MARY J PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6585 S YALE AVE STE 445, TULSA, OK 74136-9703
(918) 481-2977
(918) 481-2976
Mailing address
11523 S MULBERRY CT, JENKS, OK 74037-3462
(918) 299-2542
(918) 481-2976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2644
OK
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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