Individual
CAREE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13390 NE 23RD ST, CHOCTAW, OK 73020-8622
(405) 769-5555
(405) 769-5558
Mailing address
13390 NE 23RD ST, CHOCTAW, OK 73020-8622
(405) 769-5555
(405) 769-5558
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
854
OK
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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