Individual
PAIGE RISENHOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
1601 W JUNEAU ST, BROKEN ARROW, OK 74012-0736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3909
OK
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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