Organization
PHYSICAL THERAPY CONSULTANTS OF TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGY GILLISPIE PT (OWNER PT)
(918) 743-2988
Entity
Organization
Contact information
Practice address
4157 S HARVARD AVE, STE 111, TULSA, OK 74135-2631
(918) 743-2988
(918) 743-3248
Mailing address
4157 S HARVARD AVE, STE 111, TULSA, OK 74135-2631
(918) 743-2988
(918) 743-3248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200256890A
—
OK
01
—
650016749
RR MEDICARE
OK
Enumeration date
09/07/2005
Last updated
10/29/2009
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