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NPI Code Detail

MEDICARE: WHITNEY ALYSE EASTWOOD DPT

MEDICARE: WHITNEY ALYSE EASTWOOD DPT
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 Therapist4440OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346537115
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY ALYSE EASTWOOD DPT
Provider Business Mailing Address
First Line : 302592 OLD HIGHWAY 7
Second Line :
City : RATLIFF CITY
State : OK
Zip : 73481-5811
Country : US
Telephone Number : 580-467-5530
Fax Number :
Provider Business Practice Location Address
First Line : 2150 W ELK AVE
Second Line :
City : DUNCAN
State : OK
Zip : 73533-1827
Country : US
Telephone Number : 580-251-8460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 09/13/2022

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Directions to “ WHITNEY ALYSE EASTWOOD DPT” Practice Location

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