TIM T MINNICK

BROKEN ARROW, OK
NPI1205854288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  2542)
Enumeration Date2006-07-17
Last Update Date2015-04-30
Business Address
-- TIM T MINNICK MPT
2232 W HOUSTON ST
BROKEN ARROW, OK 74012-3529
Phone number: 918-259-9522
Mailing Address
-- TIM T MINNICK MPT
2234 W HOUSTON ST STE B
BROKEN ARROW, OK 74012-3519
Phone number: 918-259-1888