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NPI Code Detail

MEDICARE: MISS CIERA LEE HARPER PTA

MEDICARE: MISS CIERA LEE HARPER PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant3045OK

General Provider Information

NPI Number : 1194284919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CIERA LEE HARPER PTA
Provider Business Mailing Address
First Line : 14025 N EASTERN AVE APT 2911
Second Line :
City : EDMOND
State : OK
Zip : 73013-3520
Country : US
Telephone Number : 918-457-6979
Fax Number :
Provider Business Practice Location Address
First Line : 2416 N ANN ARBOR AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-1811
Country : US
Telephone Number : 405-942-8566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 03/19/2019

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Directions to “ MISS CIERA LEE HARPER PTA” Practice Location

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