MISTY MCMULLEN

OWASSO, OK
NPI1417498684
Other NameMISTY ZALVIDAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1453)
Enumeration Date2017-03-20
Last Update Date2020-06-05
Business Address
MISTY MCMULLEN PTA
13720 E 86TH ST N
OWASSO, OK 74055-8704
Phone number: 918-609-8088
Mailing Address
MISTY MCMULLEN PTA
6585 S YALE AVE STE 200
TULSA, OK 74136-8315
Phone number: 918-481-2767