Individual
HAYLEY MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1510 N GRAND AVE, TAHLEQUAH, OK 74464-6318
(918) 708-2119
Mailing address
447223 E 993 RD, GORE, OK 74435-5090
(918) 315-3851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3203
OK
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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