Healthcare Provider Details

I. General information

NPI: 1629404967
Provider Name (Legal Business Name): EMILY N PARRISH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 MERCHANT DR
NORMAN OK
73069-6470
US

IV. Provider business mailing address

34637 AIRLINE RD
PAULS VALLEY OK
73075-8583
US

V. Phone/Fax

Practice location:
  • Phone: 405-809-8710
  • Fax: 405-573-6768
Mailing address:
  • Phone: 405-238-7000
  • Fax: 405-238-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4727
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: