Individual
MR. ASHLEY BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
224 S BRADY ST STE 109, CLAREMORE, OK 74017-5085
(918) 923-4700
Mailing address
1101 E 390 RD, TALALA, OK 74080-3466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3184
OK
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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