Individual
MIKAYLA TOMASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3500 S BOULEVARD STE A1, EDMOND, OK 73013-5490
(405) 513-8118
(405) 513-6490
Mailing address
PO BOX 3542, EDMOND, OK 73083-3542
(405) 513-8118
(405) 513-6490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2827
OK
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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