Preston Runyan

NPI #1427407378 in Choctaw, Oklahoma

Provider Information

NPI Number: 1427407378
Entity Type: Individual
Name: Preston Runyan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 10, 2016
Last Updated: Jun 10, 2016

Practice Location

Address: 14890 SE 29TH ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-3515
Phone: (405) 390-1731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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