Individual
MRS. DANIELLE NICOLE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3300 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73112-4418
(405) 250-2158
Mailing address
12901 S WESTERN AVE APT 1407, OKLAHOMA CITY, OK 73170-6974
(405) 250-2158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1483
OK
Other
Enumeration date
06/23/2007
Last updated
07/08/2007
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