Mara Michael, PT

NPI #1437605078 in Ada, Oklahoma

Provider Information

NPI Number: 1437605078
Entity Type: Individual
Name: Mara Michael, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 1, 2016
Last Updated: Jul 24, 2018

Practice Location

Address: 1921 STONECIPHER BLVD
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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