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NPI Code Detail

MEDICARE: MICHAIAH NEWMAN-CHOCK

MEDICARE: MICHAIAH NEWMAN-CHOCK
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 Therapist6461OK

General Provider Information

NPI Number : 1710735899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAIAH NEWMAN-CHOCK
Provider Business Mailing Address
First Line : 5156 S VANDALIA AVE UNIT
Second Line : 10L
City : TULSA
State : OK
Zip : 74135-4028
Country : US
Telephone Number : 505-715-0705
Fax Number :
Provider Business Practice Location Address
First Line : 14002 E 21ST ST STE 650
Second Line :
City : TULSA
State : OK
Zip : 74134-1432
Country : US
Telephone Number : 918-274-7902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2024
Last Update Date : 05/16/2024

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Directions to “ MICHAIAH NEWMAN-CHOCK ” Practice Location

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