Individual
AMY KATHLEEN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9780 E SWAN DR, CLAREMORE, OK 74019-5015
(918) 671-6660
Mailing address
9780 E SWAN DR, CLAREMORE, OK 74019-5015
(918) 671-6660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116
OK
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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