NPI 1124731062

Talia Fore

Practitioner Physical Therapy Assistant Jenks, OK

Practice location

Address: 3029 W Main St, Jenks, OK 74037-3465
Phone: (918) 701-2300
Mailing address: 13680 Kenosha Ave, Glenpool, OK 74033-3829

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3558 (OK)

Other Physical Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1124731062
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2023
Record last updated: 5 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.