Individual
KATHRYN FULLER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6585 S YALE AVE STE 445, TULSA, OK 74136-9703
(918) 481-2977
Mailing address
8123 S 75TH EAST AVE, TULSA, OK 74133-4212
(918) 252-4746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
680
OK
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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