DERIC FENZL

PRYOR, OK
NPI1699295162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  5348)
Enumeration Date2017-06-26
Last Update Date2017-06-26
Business Address
DERIC FENZL DPT
1486 S ELLIOTT ST
PRYOR, OK 74361-8002
Phone number: 918-825-2333
Mailing Address
DERIC FENZL DPT
4812 E 33RD ST
TULSA, OK 74135-2038
Phone number: 918-622-4126
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