DALTON TY WHITEBIRD

TAHLEQUAH, OK
NPI1962138933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  3033)
Enumeration Date2022-08-01
Last Update Date2022-08-01
Business Address
DALTON TY WHITEBIRD
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-456-0641
Mailing Address
DALTON TY WHITEBIRD
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number:
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