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Individual

PEGGY RUTH KEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
ST FRANCIS, 6161 S YALE AVE, TULSA, OR 74136
(918) 494-1471
Mailing address
4856 E 148TH ST S, BIXBY, OK 74008-4071
(918) 366-0906

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
596
OK

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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