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NPI Code Detail

MEDICARE: JOANNA LYNN DARROW PTA

MEDICARE: JOANNA LYNN DARROW PTA
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
1225200000XPhysical Therapy Assistant1827OK

General Provider Information

NPI Number : 1720710189
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA LYNN DARROW PTA
Provider Business Mailing Address
First Line : 1310 W 166TH ST N
Second Line :
City : SKIATOOK
State : OK
Zip : 74070-3670
Country : US
Telephone Number : 918-232-7638
Fax Number :
Provider Business Practice Location Address
First Line : 1815 E SKELLY DR
Second Line :
City : TULSA
State : OK
Zip : 74105-5919
Country : US
Telephone Number : 918-743-7838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2022
Last Update Date : 06/25/2022

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