Individual
AMANDA MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 W MAIN ST, NORMAN, OK 73069-6923
(405) 321-1469
Mailing address
1708 NW 146TH ST, EDMOND, OK 73013-2490
(405) 463-0777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1383
LICENSE #
OK
Enumeration date
08/30/2006
Last updated
07/08/2007
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