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Individual

MYNDA MISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11211 N GARNETT RD STE B, OWASSO, OK 74055-4243
(918) 553-1122
(833) 840-6360
Mailing address
11211 N GARNETT RD STE B, OWASSO, OK 74055-4243
(918) 553-1122
(833) 840-6360

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3493
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3493
LICENSE
OK
Enumeration date
09/21/2006
Last updated
03/16/2023
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