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Individual

MARY KAY CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
9322 E 41ST ST, TULSA, OK 74145-3721
(918) 628-6255
Mailing address
409 E. POND DR., SAND SPRINGS, OK 74063-7388
(919) 241-2108
(918) 241-2108

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1586
OK

Other

Enumeration date
12/24/2007
Last updated
12/24/2007
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