Individual
DR. TRYSTIEN JORDAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
119 E 4TH ST, TULSA, OK 74103-5002
(773) 350-5371
Mailing address
3100 OLYMPUS BLVD., SUITE 500, DALLAS, TX 75019
(877) 456-2867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015422
GA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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