Individual
DANELLE DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5800 E SKELLY DR, STE 402, TULSA, OK 74135-6471
(918) 921-4374
Mailing address
3101 W MOBILE ST, BROKEN ARROW, OK 74011-7851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2632
OK
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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