Individual
MS. DANA DALE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3410 S 4TH ST, CHICKASHA, OK 73018-7502
(405) 222-9537
(405) 222-9566
Mailing address
3410 S 4TH ST, CHICKASHA, OK 73018-7502
(405) 224-9675
(405) 224-9677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1578
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4536410
AETNA
—
Enumeration date
11/30/2005
Last updated
06/24/2022
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