DIANE PRIDEMORE

TULSA, OK
NPI1922472869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1140)
Enumeration Date2015-11-16
Last Update Date2015-11-16
Business Address
-- DIANE PRIDEMORE
5800 E SKELLY DR SUITE 402
TULSA, OK 74135-6471
Phone number: 918-497-1068
Mailing Address
-- DIANE PRIDEMORE
605 N NYSSA AVE
BROKEN ARROW, OK 74012-2258
Phone number: 918-497-1068
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