Individual
MR. ANTHONY JOSEPH SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12455 E 100TH ST N STE 120, OWASSO, OK 74055
(918) 609-8786
Mailing address
12455 E 100TH ST N STE 120, OWASSO, OK 74055-4675
(918) 609-8786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1980
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744020A
—
OK
05
—
100835460A
—
OK
Enumeration date
08/02/2006
Last updated
12/19/2018
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