Individual
KRISTIN L FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1471
Mailing address
27545 E 160TH ST S, COWETA, OK 74429-6662
(918) 494-1471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2364
OK
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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