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Individual

MRS. KAYLA SIMMONE GOING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3312 S PEORIA AVE, TULSA, OK 74105-2029
(918) 400-0089
Mailing address
7132 S 77TH EAST AVE, TULSA, OK 74133-2819
(918) 332-8649

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2611
OK

Other

Enumeration date
02/23/2017
Last updated
11/12/2024
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