Individual
MRS. DALLAS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
724 24TH AVE NW, NORMAN, OK 73069-6218
(405) 447-1571
Mailing address
4404 NEWPORT DR, NORMAN, OK 73072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3640
OK
Other
Enumeration date
03/23/2007
Last updated
09/22/2016
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