Individual
THOMAS E GLADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105664 S 4640 RD, SALLISAW, OK 74955-8628
(918) 774-3845
Mailing address
105664 S 4640 RD, SALLISAW, OK 74955-8628
(918) 774-3845
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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