Individual
MARY DENISE PEABODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6525 N MERIDIAN AVE STE 311, OKLAHOMA CITY, OK 73116-1410
(405) 721-1115
(405) 721-2025
Mailing address
108 BERKSHIRE DR, EDMOND, OK 73034-7366
(405) 330-6468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
836
OK
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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