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General NPI Number Information
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NPI Number | 1720631484
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SPECIALISTS OF TULSA LLC
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 9716 RIVERSIDE PKWY STE 201
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City | TULSA
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State | OK
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Zip | 74137-7453
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Country | US
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Telephone | 918-615-6280
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Fax | 918-615-6240
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Provider Business Mailing Address
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Address Line | 9716 RIVERSIDE PKWY STE 201
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City | TULSA
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State | OK
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Zip | 74137-7453
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Country | US
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Telephone | 918-615-6280
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Fax | 918-615-6240
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Authorized Official
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Title or Position | CEO
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Name | GAIL M PIANALTO
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Credential |
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Telephone | 918-615-6280
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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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