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NPI Code Detail

MEDICARE: KATARINA GATTU PT

MEDICARE: KATARINA GATTU PT
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
1225100000XPhysical Therapist6558OK

General Provider Information

NPI Number : 1275379539
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATARINA GATTU PT
Provider Business Mailing Address
First Line : 536 NW 35TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-7308
Country : US
Telephone Number : 405-514-8960
Fax Number :
Provider Business Practice Location Address
First Line : 9900 BROADWAY EXT STE 104
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-6323
Country : US
Telephone Number : 405-514-8960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2024
Last Update Date : 05/11/2026

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Directions to “ KATARINA GATTU PT” Practice Location

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