Individual
JACK ARNOLD TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7005 SE 15TH ST STE 200, MIDWEST CITY, OK 73110-5126
(405) 610-2488
(405) 610-2484
Mailing address
800 NW 6TH ST, OKLAHOMA CITY, OK 73106-7241
(405) 609-3667
(405) 609-3697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6034
OK
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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