KELLY FOSSARD

TULSA, OK
NPI1316534431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  5474)
Enumeration Date2020-12-22
Last Update Date2020-12-27
Business Address
KELLY FOSSARD DPT
7401 RIVERSIDE PKWY
TULSA, OK 74136-5044
Phone number: 918-417-1906
Mailing Address
KELLY FOSSARD DPT
800 E ALBUQUERQUE ST
BROKEN ARROW, OK 74011-7245
Phone number:
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