Individual
KELLY GWILI LARGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3102 SHERIDAN RD, BARTLESVILLE, OK 74006-4722
(918) 246-1596
(918) 246-1446
Mailing address
3102 SHERIDAN RD, BARTLESVILLE, OK 74006-4722
(918) 246-1596
(918) 246-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2605
OK
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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