Individual
AMBER PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2334 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7256
(918) 331-9184
(918) 331-9187
Mailing address
10100 FOREST HILLS RD, MACHESNEY PARK, IL 61115-8234
(815) 713-2738
(815) 713-2797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1269
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117320A
—
OK
Enumeration date
07/08/2009
Last updated
07/08/2009
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