Individual
ALLISON LAYNE CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
800 GARTH BROOKS BLVD, YUKON, OK 73099-3841
(405) 350-3336
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5622
OK
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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