Individual
CHARLOTTE ERMELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 E VETERANS MEMORIAL HWY, BLANCHARD, OK 73010-9215
(405) 809-8705
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3660
LICENSE #
OK
Enumeration date
08/25/2006
Last updated
03/17/2018
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