Individual
CARLY GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
524 W IOLA ST, BROKEN ARROW, OK 74012-2564
(918) 994-5333
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6300
OK
Other
Enumeration date
05/24/2023
Last updated
06/07/2024
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