Individual
CHRISTA L IKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC, DPT
Contact information
Practice address
9210 S. WESTERN AVE, OKLAHOMA CITY, OK 73139
(405) 692-6333
Mailing address
3601 BLACK HAWK DR, NORMAN, OK 73072
(618) 979-2744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4508
OK
2255A2300X
Athletic Trainer
2006000156
MO
Other
Enumeration date
04/09/2007
Last updated
10/04/2011
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