Individual
CHASSITY RUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4300 W HOUSTON ST, BROKEN ARROW, OK 74012-4519
(918) 307-0233
Mailing address
4300 W HOUSTON ST, BROKEN ARROW, OK 74012-4519
(918) 307-0233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
921
OK
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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