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Individual

MS. RAMONA ESTRADA PERALEZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
2005 N 14TH ST, STE 111, PONCA CITY, OK 74601-1952
(580) 765-0101
(580) 765-3434
Mailing address
706 S 1ST ST, BLACKWELL, OK 74631-3825
(580) 363-1111
(580) 363-1116

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3086
OK

Other

Enumeration date
06/17/2005
Last updated
07/08/2007
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