Individual
ALISHA NICOLE COTHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5911 S QUINCY PL, TULSA, OK 74105-7922
(918) 760-8247
Mailing address
5911 S QUINCY PL, TULSA, OK 74105-7922
(918) 760-8247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1561
OK
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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