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General NPI Number Information
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NPI Number | 1083407712
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Entity Type | Individual
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Provider Name | GRETCHEN FOOTE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 4300 W MEMORIAL RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8304
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Country | US
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Telephone | 405-755-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 PALOMINO DR
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City | EDMOND
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State | OK
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Zip | 73034-5935
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Country | US
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Telephone | 817-657-9815
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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