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Individual

JANNA DIANE OGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4157 S HARVARD AVE, STE 111, TULSA, OK 74135-2631
(918) 743-2988
(918) 743-3248
Mailing address
4157 S HARVARD AVE, SUITE 111, TULSA, OK 74135-2631
(918) 743-2988
(918) 743-2988

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2785
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9805
BLUE LINCS HMO
OK
01
A002
TRICARE
OK
Enumeration date
09/01/2005
Last updated
04/16/2008
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