Individual
MISS EMILY MICHELLE EDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9201 S I 35 SERVICE RD, MOORE, OK 73160-9046
(405) 601-4303
Mailing address
9201 S I 35 SERVICE RD, MOORE, OK 73160-9046
(405) 816-9801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3301
OK
Other
Enumeration date
09/02/2020
Last updated
12/06/2023
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