Individual
KEVIN LEE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2560 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 994-7864
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5844
OK
Other
Enumeration date
05/13/2020
Last updated
01/29/2025
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