NPI 1235890591 · live from the CMS NPI Registry
Amanda Grace Barbosa-Guevara, DPT
Physical Therapist in Broken Arrow, OK. National Provider Identifier 1235890591, active.
NPI record
| NPI | 1235890591 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 17110 E 51st St, Broken Arrow, OK 74012 |
| Practice phone | 918-355-1596 |
| Mailing address | 1600 E Fargo St, Broken Arrow, OK 74012 |
| Enumerated | January 7, 2022 |
| Last updated | January 7, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5298 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.