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NPI Code Detail

MEDICARE: DANIEL DONALDSON PTA

MEDICARE:   DANIEL  DONALDSON  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 Assistant2781OK

General Provider Information

NPI Number : 1508736869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DONALDSON PTA
Provider Business Mailing Address
First Line : 9016 S FULTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74137-3589
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9016 S FULTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74137-3589
Country : US
Telephone Number : 918-313-1242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2025
Last Update Date : 11/10/2025

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Directions to “ DANIEL DONALDSON PTA” Practice Location

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