Individual
DIANA MARIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6600 S YALE AVE STE 200, TULSA, OK 74136-3359
(918) 488-6888
(918) 488-6869
Mailing address
8838 S 90TH EAST AVE, TULSA, OK 74133-4420
(918) 254-2328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021
OK
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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