Individual
PATRICK BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1966
OK
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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