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Individual

ANISSA MCGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1810 N SIOUX ST, STE C, CLAREMORE, OK 74017
(918) 342-3800
(918) 342-3900
Mailing address
1110 W. WILL ROGERS BLVD, CLAREMORE, OK 74017
(918) 342-3800
(918) 342-3900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
#1833
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008344208
OK
Enumeration date
07/15/2006
Last updated
07/08/2007
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