Individual
MECHELLE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7133 RIVERSIDE PKWY, TULSA, OK 74136-5053
(918) 779-6777
Mailing address
2213 W XYLER ST, TULSA, OK 74127-2228
(918) 808-6083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3129
OK
Other
Enumeration date
12/31/2007
Last updated
09/17/2021
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