Individual
MRS. KIMBERLY DIANE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 333-7200
Mailing address
1582 EAST 166TH ST. NORTH, SKIATOOK, OK 74070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1346
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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