Individual
MAKENZIE LANE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 S GRANITE AVE, TULSA, OK 74136-7039
(918) 491-5200
Mailing address
1001 S IRONWOOD AVE, BROKEN ARROW, OK 74012-8406
(191) 869-8021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2412
OK
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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