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NPI Code Detail

MEDICARE: MS. LATRICIA A KILLMAN PT

MEDICARE:  MS. LATRICIA A KILLMAN  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT2339OK

General Provider Information

NPI Number : 1477768893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LATRICIA A KILLMAN PT
Provider Business Mailing Address
First Line : 1541 N SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74115-4610
Country : US
Telephone Number : 918-836-5406
Fax Number : 918-832-8618
Provider Business Practice Location Address
First Line : 1541 N SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74115-4610
Country : US
Telephone Number : 918-836-5406
Fax Number : 918-832-8618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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Directions to “ MS. LATRICIA A KILLMAN PT” Practice Location

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