Individual
MRS. MEA ELIZABETH BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4705 W URBANA ST, SUITE B, BROKEN ARROW, OK 74012-5998
(918) 872-6677
(918) 893-6402
Mailing address
4224 W FREEPORT ST, BROKEN ARROW, OK 74012-8628
(918) 249-3420
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2534
OK
Other
Enumeration date
07/24/2006
Last updated
12/02/2010
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