Misty Mcmullen, PTA

NPI #1417498684 in Owasso, Oklahoma

Provider Information

NPI Number
1417498684
Entity Type
Individual
Name
Misty Mcmullen, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 20, 2017
Last Updated
Jun 5, 2020

Practice Location

Address
13720 E 86TH ST N
City
Owasso
ZIP Code
74055-8704
Phone
(918) 609-8088

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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