Individual
BEAU PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 NW 23RD ST STE 106, OKLAHOMA CITY, OK 73103-1509
(405) 613-6170
Mailing address
6445 N STERLING DR, OKLAHOMA CITY, OK 73132-6804
(405) 613-6170
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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