Individual
MS. TAWNYA LEANN ROUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
717 W 3RD ST, ELK CITY, OK 73644-5207
(580) 225-0848
(580) 225-0873
Mailing address
717 W 3RD ST, ELK CITY, OK 73644-5207
(580) 225-0848
(580) 225-0873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3001
OK
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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