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Individual

BRIAN GRIGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 494-2665
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 494-2665
(918) 927-3201

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2502
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200961980A
OK
Enumeration date
02/04/2021
Last updated
01/05/2026
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