RICKY NEIL RISENHOOVER

TAHLEQUAH, OK
NPI1285662916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  1606)
Enumeration Date2006-06-29
Last Update Date2008-02-08
Business Address
Mr. RICKY NEIL RISENHOOVER RPT
23 PLAZA SOUTH ST
TAHLEQUAH, OK 74464-4750
Phone number: 918-431-1919
Mailing Address
Mr. RICKY NEIL RISENHOOVER RPT
23 PLAZA SOUTH
TAHLEQUAH, OK 74464
Phone number: 918-431-1919