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Individual

MS. MARCHELL MARIE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3027 S NEW HAVEN, TULSA PUBLIC SCHOOL DISTRICT, TULSA, OK 74147
(918) 746-6328
(918) 746-6341
Mailing address
8941 S DARLINGTON AVE, TULSA, OK 74137
(918) 488-0053

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1203
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100635020D
OK
Enumeration date
06/24/2006
Last updated
05/23/2022
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