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1073631032
THERESA D LONG
TULSA, OK
NPI
1073631032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3890)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- THERESA D LONG MPT
4815 S HARVARD AVE STE 455
TULSA, OK 74135-3078
Phone number: 918-712-7805
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Mailing Address
-- THERESA D LONG MPT
7419 E 131ST ST S
BIXBY, OK 74008-3113
Phone number: 918-369-3179
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