LARRY SIDNEY TANNER

SHAWNEE, OK
NPI1336368018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  PT1807)
Enumeration Date2007-04-24
Last Update Date2019-01-15
Business Address
LARRY SIDNEY TANNER RPT
1519 N OKLAHOMA AVE
SHAWNEE, OK 74804-3848
Phone number: 405-919-0135
Mailing Address
LARRY SIDNEY TANNER RPT
8809 S SOONER RD STE E
OKLAHOMA CITY, OK 73135-6605
Phone number: 405-919-0135
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