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CARLIE MADISON APPLEGATE PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1982294310
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
6715 E 41ST ST, TULSA, OK, 741454520
Phone
(918) 806-0106

Specialties & Taxonomies

Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine License: OK #3113
Physical Therapy Assistant Primary License: OK #3113

All Addresses

LOCATION

6715 E 41ST ST

TULSA, OK, 741454520

(918) 806-0106

MAILING

19611 S 397TH EAST AVE

PORTER, OK, 744545919

(918) 616-1884