Individual
MRS. ARMIDA UNTALAN QUERUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
604 LAKE MURRAY DR E, ARDMORE, OK 73401-3851
(580) 223-4501
(580) 223-5002
Mailing address
834 FRANKLIN DR, ARDMORE, OK 73401-0804
(580) 504-4033
(580) 490-9960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2347
OK
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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