Individual
MISS DESIRAE ROSE FEIERABEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
840 RESEARCH PKWY STE 165, OKLAHOMA CITY, OK 73104-3616
(405) 271-7635
Mailing address
840 RESEARCH PKWY STE 165, OKLAHOMA CITY, OK 73104-3616
(405) 271-7635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5833
OK
Other
Enumeration date
06/09/2020
Last updated
06/23/2022
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