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NPI Code Detail

MEDICARE: KAREN BRYANT

MEDICARE: KAREN BRYANT
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 Therapist91OK

General Provider Information

NPI Number : 1639269608
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN BRYANT
Provider Business Mailing Address
First Line : 7608 E 91ST ST
Second Line :
City : TULSA
State : OK
Zip : 74133-6014
Country : US
Telephone Number : 918-663-0606
Fax Number : 918-663-8754
Provider Business Practice Location Address
First Line : 7608 E 91ST ST
Second Line :
City : TULSA
State : OK
Zip : 74133-6014
Country : US
Telephone Number : 918-663-0606
Fax Number : 918-663-8754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/09/2007

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Directions to “ KAREN BRYANT ” Practice Location

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