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TERESA DAWN COGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1500 N SIOUX AVE, CLAREMORE, OK 74017
(918) 923-4700
(918) 923-4701
Mailing address
1500 N. SIOUX AVE, CLAREMORE, OK 74017
(918) 923-4700
(918) 923-4701

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2824
OK

Other

Enumeration date
09/18/2023
Last updated
01/10/2025
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