Individual
TROY WILLIAM TIPPECONNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20208 NE 23RD ST, HARRAH, OK 73045-9123
(405) 454-0010
Mailing address
PO BOX 746, HARRAH, OK 73045-0746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6222
OK
Other
Enumeration date
07/13/2022
Last updated
05/11/2023
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