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Russell Fanning, PTA
NPI 1356556955 · on the registry since 2007 · sole proprietor
Practice
- Address
- 800 N. Arapaho
Hydro, OK 73048 - Phone
- (405) 663-2335
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma