Individual
ALICIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3905 S HUDSON AVE, TULSA, OK 74135-5607
(918) 627-3390
Mailing address
218 S SHAWNEE ST, CATOOSA, OK 74015-2125
(918) 527-0415
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
841
OK
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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