Individual
DR. CARLETTA MAGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3716 OAK GROVE DR, OKLAHOMA CITY, OK 73110-3730
(405) 413-4081
Mailing address
3716 OAK GROVE DR, OKLAHOMA CITY, OK 73110-3730
(405) 413-4081
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT3474
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11061972
—
OK
Enumeration date
08/25/2015
Last updated
08/25/2015
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