Individual
SAMANTHA ROSE MAYHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4157 S HARVARD AVE STE 101, TULSA, OK 74135-2606
(918) 949-4390
Mailing address
305 W 44TH ST, SAND SPRINGS, OK 74063-3205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3290
OK
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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