Individual
ERICCA MANDELKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6101 W RENO AVE STE 800, OKLAHOMA CITY, OK 73127-6592
(405) 495-3083
Mailing address
6101 W RENO AVE STE 800, OKLAHOMA CITY, OK 73127-6592
(405) 495-3085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1676
OK
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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