Individual
JUDY MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 NW 145TH CIR, EDMOND, OK 73013-1876
(405) 675-0896
Mailing address
801 NW 145TH CIR, EDMOND, OK 73013-1876
(405) 675-0896
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2245
OK
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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