Individual
JUSTIN WILLIAM BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1125 S TRENTON AVE, TULSA, OK 74120-5498
(918) 579-7100
Mailing address
6121 E 82ND PL, TULSA, OK 74137-2104
(817) 907-9707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3829
OK
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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