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Search › Oklahoma › Physical Therapy Assistant

Russell Berry, LPTA

NPI 1972716512 · on the registry since 2007

Practice

Address
1 Wickersham St
Mangum, OK 73554
Phone
(580) 782-3353
Organisation at this address
Blackhawk Mangum, Llc
Blackhawk Mangum, Llc
Blackhawk Mangum, Llc
Mangum City Hospital Authority
Mangum City Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-29

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