Individual
CAROLYN MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12899 E 76TH ST N, STE. 109, OWASSO, OK 74055-4021
(918) 609-6003
Mailing address
12899 E 76TH ST N, STE. 109, OWASSO, OK 74055-4021
(918) 609-6003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1540
OK
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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