Individual
CHRISTOPHER MICHAEL OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-1651
Mailing address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2850
PTA
OK
Enumeration date
06/28/2019
Last updated
11/27/2023
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