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Individual

COURTNEY E WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
1414 S DENVER AVE, TULSA, OK 74119-3423
(918) 712-7805
Mailing address
5419 S 79TH EAST AVE, TULSA, OK 74145-7834
(918) 519-1713

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4716
OK

Other

Enumeration date
05/13/2014
Last updated
05/13/2014
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