Individual
TRACEY DEANN HANSHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2701 S 9TH ST, CHICKASHA, OK 73018-6744
(405) 224-3593
Mailing address
1717 CLEARWATER DR, NORMAN, OK 73071-4341
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2385
OK
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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