Individual
TALEASHA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1118 S MAIN ST, GROVE, OK 74344-2800
(918) 786-9883
Mailing address
PO BOX 721018, NORMAN, OK 73070-4786
(918) 622-4278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3457
OK
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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