Individual
MRS. MONICA E MESSMER-TUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2608 W KENOSHA ST # 496, BROKEN ARROW, OK 74012-8952
(918) 284-4220
(918) 249-2817
Mailing address
2608 W KENOSHA ST # 496, BROKEN ARROW, OK 74012-8952
(918) 284-4220
(918) 249-2817
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2077
OK
2251P0200X
Pediatric Physical Therapist
Primary
2077
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02710
BLUE CROSS BLUE SHIELD
OK
05
—
100665910C
—
OK
Enumeration date
07/07/2005
Last updated
07/29/2020
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