Individual
PRESTON RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14890 SE 29TH ST, CHOCTAW, OK 73020-3515
(405) 390-1731
(405) 390-1981
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8713
(405) 573-6768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5146
OK
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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