Individual
MRS. AMY RESULTAN BONAOBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6600 S YALE AVE, SUITE 200, TULSA, OK 74136-3310
(918) 488-6888
Mailing address
3913 W EL PASO ST, BROKEN ARROW, OK 74012-4556
(918) 249-1962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2190
OK
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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