Individual
VALERIE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3030 NW EXPRESSWAY, #809, OKLAHOMA CITY, OK 73112-5474
(405) 917-7160
Mailing address
1324 ATALON DR, MOORE, OK 73160-5858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1677
OK
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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