Individual
MR. HEATH HANOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6901 S OLYMPIA AVE, TULSA, OK 74132-1843
(918) 388-5701
Mailing address
10919 S 91ST EAST CT, TULSA, OK 74133-6323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2860
OK
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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