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SINJIN BLACK

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1194660506
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1200 SW 104TH ST STE A, OKLAHOMA CITY, OK, 731393018
Phone
(405) 759-3773

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OK #3965

All Addresses

MAILING

3012 SHADOWHILL ST

NORMAN, OK, 730717189

(405) 371-0226

LOCATION

1200 SW 104TH ST STE A

OKLAHOMA CITY, OK, 731393018

(405) 759-3773