Individual
TIA R CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1486 S ELLIOTT ST, PRYOR, OK 74361-8002
(918) 825-2333
(918) 825-6266
Mailing address
PO BOX 721018, NORMAN, OK 73070-4786
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2183
OK
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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