Individual
NIKOLAUS PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4907 E GALVESTON PL, BROKEN ARROW, OK 74014-2342
(918) 841-6257
Mailing address
4907 E GALVESTON PL, BROKEN ARROW, OK 74014-2342
(918) 841-6257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5276
OK
Other
Enumeration date
08/10/2020
Last updated
07/25/2024
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