TIERRA LASHAWN FULTZ TAKYI-MICAH

OKLAHOMA CITY, OK
NPI1255941969
Former NameTIERRA LASHAWN FULTZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  5789)
Enumeration Date2020-08-06
Last Update Date2020-08-06
Business Address
TIERRA LASHAWN FULTZ TAKYI-MICAH PT, DPT
309 SW 59TH ST STE 305
OKLAHOMA CITY, OK 73109-8324
Phone number: 405-355-3239
Mailing Address
TIERRA LASHAWN FULTZ TAKYI-MICAH PT, DPT
5009 AVION CT
OKLAHOMA CITY, OK 73135-5090
Phone number: 918-809-4228
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