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1649516550
TERISA D. RASE
BROKEN ARROW, OK
NPI
1649516550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 66)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
-- TERISA D. RASE PTA
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 918-798-8324
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Mailing Address
-- TERISA D. RASE PTA
PO BOX 3492
BROKEN ARROW, OK 74013-3492
Phone number: 918-798-8324
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