Individual
AMANDA R POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
34637 AIRLINE RD, PAULS VALLEY, OK 73075-8583
(405) 238-7000
(405) 238-7005
Mailing address
34637 AIRLINE RD, PAULS VALLEY, OK 73075-8583
(405) 238-7000
(405) 238-7005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4232
OK
Other
Enumeration date
12/28/2009
Last updated
07/19/2014
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