Mrs. KELLY MARIE SWAN PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1619569852- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 12912 E 86TH ST N, OWASSO, OK, 740558608
- Phone
- (918) 524-3833
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
License: OK #460722482
Physical Medicine & Rehabilitation
Primary License: OK #1353