Physical Therapy Associates Inc | |
112 N Blaine, Suite A, Chandler, OK 74834 | |
(405) 258-8644 | |
(405) 240-5145 |
Full Name | Physical Therapy Associates Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 112 N Blaine, Chandler, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144249293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Randel B Davis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134165103 PECOS PAC ID: 7315962487 Enrollment ID: I20120216000493 |
Provider Name | Christin L Davis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306882584 PECOS PAC ID: 3678598745 Enrollment ID: I20120220001136 |
Mailing Address | Practice Location Address |
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Physical Therapy Associates Inc Po Box 57710, Physical Therapy Associates, Oklahoma City, OK 73157-7710 Ph: (405) 258-8644 | Physical Therapy Associates Inc 112 N Blaine, Suite A, Chandler, OK 74834 Ph: (405) 258-8644 |
Randel Brad Davis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 N Blaine Ave, Suite A, Chandler, OK 74834 Phone: 405-258-8644 Fax: 405-240-5145 | |
Christin L Davis, REGISTERED PHYSICAL Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 North Blaine, Suite A, Chandler, OK 74834 Phone: 405-258-8644 Fax: 405-240-5145 |