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My Ta, BS, PT, MPT
NPI 1841568060 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3328 N Classen Blvd
Oklahoma City, OK 73118 - Phone
- (405) 524-5200
- Fax
- (405) 524-5206
- Organisation at this address
- Institute Of Pain Management, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-01
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