TIFFANY RAE PANNELL

TULSA, OK
NPI1326734013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1674)
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
TIFFANY RAE PANNELL PTA
6705 E 81ST ST STE. 170
TULSA, OK 74133-4171
Phone number: 918-710-5790
Mailing Address
TIFFANY RAE PANNELL PTA
204 W. WALNUT ST
COWETA, OK 74429
Phone number: 918-520-7661