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NPI Code Detail

MEDICARE: DR. CAROL PIERCE DIONNE PT, PHD, OCS

MEDICARE:  DR. CAROL PIERCE DIONNE  PT, PHD, OCS
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
12251X0800XOrthopedic Physical Therapist3850OK

General Provider Information

NPI Number : 1730202284
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL PIERCE DIONNE PT, PHD, OCS
Provider Business Mailing Address
First Line : 3716 WINNERS CIR
Second Line :
City : EDMOND
State : OK
Zip : 73034-5881
Country : US
Telephone Number : 405-341-0716
Fax Number :
Provider Business Practice Location Address
First Line : 2809 SW 119TH STREET
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170
Country : US
Telephone Number : 405-735-2270
Fax Number : 405-735-2273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CAROL PIERCE DIONNE PT, PHD, OCS” Practice Location

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