Individual
MATTHEW DILLON OGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4008 S YALE AVE, TULSA, OK 74135-6017
(918) 622-4278
Mailing address
1417 S FULTON AVE, TULSA, OK 74112-6321
(918) 633-6971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5706
OK
Other
Enumeration date
07/09/2019
Last updated
07/29/2021
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