Individual
EMILY DAHLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4800 WEST SAN ANTONIO, BROKEN ARROW, OK 74012
(918) 625-7200
Mailing address
8217 S YALE AVE APT 312, TULSA, OK 74137
(918) 625-7200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
157367
OK
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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