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NPI 1184054355 · live from the CMS NPI Registry

Quincy Anderson

Physical Therapist in Midwest City, OK. National Provider Identifier 1184054355, active.

NPI record

NPI1184054355 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location6904 E Reno Ave, Midwest City, OK 73110
Practice phone405-737-5555
EnumeratedNovember 25, 2013
Last updatedNovember 25, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist primary225100000X4498 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.