Individual
MRS. KIMBERLY GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20277 E 1110 RD, ELK CITY, OK 73644-6405
(580) 799-0917
Mailing address
20277 E 1110 RD, ELK CITY, OK 73644-6405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1232
OK
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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