Individual
COLIN RYAN PASQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4101 SE 44TH ST, NORMAN, OK 73072-9631
(405) 837-8531
Mailing address
4101 SE 44TH ST, NORMAN, OK 73072-9631
(405) 837-8531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6138
OK
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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