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NPI Code Detail

MEDICARE: MEAGAN DAYNE MARQUEZ PTA

MEDICARE:   MEAGAN DAYNE MARQUEZ  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 Assistant2468OK

General Provider Information

NPI Number : 1710634746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN DAYNE MARQUEZ PTA
Provider Business Mailing Address
First Line : 514 CRIPPLE CREEK DR
Second Line :
City : NORMAN
State : OK
Zip : 73071-7004
Country : US
Telephone Number : 580-309-3621
Fax Number :
Provider Business Practice Location Address
First Line : 5608 SE 67TH ST STE 105
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-1719
Country : US
Telephone Number : 405-254-4199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2022
Last Update Date : 03/09/2022

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Directions to “ MEAGAN DAYNE MARQUEZ PTA” Practice Location

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