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Individual

MRS. ASHLEY MYRIAH DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
991 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5416
(918) 283-2992
(918) 283-2952
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-9341
(918) 494-9355

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1973
OK
225200000X
Physical Therapy Assistant
2447
AR

Other

Enumeration date
10/24/2012
Last updated
06/04/2020
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