Individual
MRS. TARA R. GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
(580) 379-5829
Mailing address
2520 N ROBIN ST, ALTUS, OK 73521-1557
(580) 480-1685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1062
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201108000A
—
OK
Enumeration date
04/26/2007
Last updated
11/21/2023
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