KELLI RENEE PRIDEMORE

TULSA, OK
NPI1699382655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2020-09-24
Last Update Date2025-03-03
Business Address
KELLI RENEE PRIDEMORE PTA
3701 M.L.K. JR BLVD
TULSA, OK 74106
Phone number: 918-425-3583
Mailing Address
KELLI RENEE PRIDEMORE PTA
419 S 276TH EAST AVE
CATOOSA, OK 74015-5535
Phone number: 918-899-8391