Doctor Name: | MRS. ALLISON GAYLE REDICK |
NPI Number: | 1053442517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.T. |
License Number: | 833 |
Business Practice Address: | 1810 N Sioux Ave Ste C Claremore, OK - 740173134 |
Business Phone Number: | 9183413434 |
Business Fax Number: | 9183418687 |
Mailing Address: | 1110 W Will Rogers Blvd, CLAREMORE |
State: | OK |
Postal Code: | 740175421 |
Phone Number: | 9183423800 |
Fax Number: | 9183423900 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |