Individual
ROYCE A. MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5170 S VANDALIA AVE, TULSA, OK 74135-4079
(918) 496-3963
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3626
OK
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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