Individual
SUSAN RENEE' MCNABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4344 S 198TH EAST AVE, BROKEN ARROW, OK 74014-1399
(918) 728-4374
Mailing address
4344 S 198TH EAST AVE, BROKEN ARROW, OK 74014-1399
(918) 728-4374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3090
OK
Other
Enumeration date
07/14/2007
Last updated
07/14/2007
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