Individual
MADISON L NIGHTENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1071 W BLUE STARR DR STE 105, CLAREMORE, OK 74017-2869
(918) 342-3800
(918) 342-3900
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5333
OK
Other
Enumeration date
07/31/2017
Last updated
01/15/2018
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