Doctor Name: | MRS. MYNDA JO MISER |
NPI Number: | 1831297779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 3493 |
Business Practice Address: | 10902 E 121st St N Collinsville, OK - 740215545 |
Business Phone Number: | 9188081925 |
Business Fax Number: | 9188060113 |
Mailing Address: | 10902 E 121st St N, COLLINSVILLE |
State: | OK |
Postal Code: | 740215545 |
Phone Number: | 9188081925 |
Fax Number: | 9188060113 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 05/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |