Individual
MICAH OWNBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2401 NW 23RD ST STE 2D, OKLAHOMA CITY, OK 73107-2420
(405) 355-3239
Mailing address
11032 NW 114TH ST, YUKON, OK 73099-8041
(405) 313-7890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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