Individual
DEANNA WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11 PALM AVE, YUKON, OK 73099-5645
(405) 350-5131
Mailing address
11 PALM AVE, YUKON, OK 73099-5645
(405) 350-5131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2749
OK
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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