Individual
MR. HUNTER DERRIN LEE RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 N SIOUX AVE, CLAREMORE, OK 74017-3128
(918) 923-4700
(918) 923-4701
Mailing address
21112 S SHILOH RD, CLAREMORE, OK 74019-6414
(918) 803-2609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3888
OK
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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