Individual
MR. VINCENT C FRISILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4004 S YALE AVE, TULSA, OK 74135-6017
(918) 622-4126
(918) 270-2398
Mailing address
3756 E 39TH PL, TULSA, OK 74135-2412
(918) 742-0642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3088
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7644219
AETNA
—
Enumeration date
08/17/2006
Last updated
10/23/2007
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