Individual
RAVEN GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8809 S SOONER RD STE E, OKLAHOMA CITY, OK 73135-6605
(405) 455-7860
(405) 455-7865
Mailing address
PO BOX 9907, MOORE, OK 73153-5307
(405) 455-7860
(405) 455-7865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5788
OK
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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