Derek Thayer, PTA

NPI #1184173460 in Norman, Oklahoma

Provider Information

NPI Number
1184173460
Entity Type
Individual
Name
Derek Thayer, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 27, 2016
Last Updated
Sep 27, 2016

Practice Location

Address
724 24TH AVE NW
City
Norman
ZIP Code
73069-6218
Phone
(405) 447-1571

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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