Individual
TAEGAN BRIANNE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS-PTA
Contact information
Practice address
101 N POST RD STE A, MIDWEST CITY, OK 73130-3605
(405) 397-3550
(405) 455-6505
Mailing address
812 LINCOLN ST, SEMINOLE, OK 74868-3838
(405) 380-6262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3475
OK
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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