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Individual

MS. DERRIEN RELYEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
6400 N SANTA FE AVE, STE B, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256
Mailing address
6400 N SANTA FE AVE, STE B, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2774
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8T1600
BCBS PAR PLAN PROVIDER #
TX
Enumeration date
05/23/2005
Last updated
03/29/2012
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