KENDRA DANAE HISAW

ADA, OK
NPI1174118335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  3320)
Enumeration Date2021-03-09
Last Update Date2021-03-09
Business Address
KENDRA DANAE HISAW PTA
2020 ARLINGTON ST STE 3
ADA, OK 74820-2822
Phone number: 580-332-5124
Mailing Address
KENDRA DANAE HISAW PTA
2020 ARLINGTON ST STE 3
ADA, OK 74820-2822
Phone number: 580-332-5124
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