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Individual

MRS. KELLI BORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
12201 N WESTERN AVE, OKLAHOMA CITY, OK 73114-8022
(918) 638-6303
Mailing address
14574 COTTONWOOD, EDMOND, OK 73025-8548
(918) 638-6303

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2462
OK

Other

Enumeration date
01/12/2021
Last updated
03/10/2026
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