Individual
MRS. SUSAN ANN FAVORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3220 WILLOW ROCK RD, NORMAN, OK 73072-3340
(405) 321-4062
Mailing address
3220 WILLOW ROCK RD, NORMAN, OK 73072-3340
(405) 321-4062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT834
OK
Other
Enumeration date
10/26/2006
Last updated
07/09/2007
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