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1003036799
PAMELA THACKER KANTNER
TULSA, OK
NPI
1003036799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK pt1123)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- PAMELA THACKER KANTNER RPT
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-1471
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Mailing Address
-- PAMELA THACKER KANTNER RPT
4505 E 103RD ST
TULSA, OK 74137-5946
Phone number: 918-494-1443
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TULSA MEDICAL & REHAB LLC