Individual
THOMAS CALVIN BLAIR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1401
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4732
OK
Other
Enumeration date
05/28/2013
Last updated
05/30/2013
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