Healthcare Provider Details
I. General information
NPI: 1629237243
Provider Name (Legal Business Name): ASHLEE E HUTCHENS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2008
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
825 E ROBINSON ST
NORMAN OK
73071-6610
US
IV. Provider business mailing address
PO BOX 550
NORMAN OK
73070-0550
US
V. Phone/Fax
- Phone: 405-364-7900
- Fax: 405-310-6866
- Phone: 405-364-7900
- Fax: 405-310-6866
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: