Individual
MRS. KELLY CARELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9201 OK-17, SUITE F, ELGIN, OK 73538
(580) 454-9200
Mailing address
1409 NE SCENIC RDG, ELGIN, OK 73538-4200
(580) 574-9085
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2960
OK
225200000X
Physical Therapy Assistant
2960
OK
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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