Healthcare Provider Details

I. General information

NPI: 1023345121
Provider Name (Legal Business Name): CARI L CURTIS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8128 E 123
WETUMKA OK
74883-6164
US

IV. Provider business mailing address

8128 E 123
WETUMKA OK
74883-6164
US

V. Phone/Fax

Practice location:
  • Phone: 918-421-1945
  • Fax:
Mailing address:
  • Phone: 918-421-1945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1966
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: