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Individual

PAMELA LYNN TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
13200 S MAY AVE, OKLAHOMA CITY, OK 73170-4541
(405) 691-2300
Mailing address
1606 CAMELOT ST, TUTTLE, OK 73089-9250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1835
OK
2251G0304X
Geriatric Physical Therapist
Primary
1835
OK

Other

Enumeration date
03/20/2023
Last updated
02/13/2026
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