Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 6076 | OK |
NPI | 1134676752 |
---|---|
Provider Name | Morgan Strate |
First Address | Tulsa, OK 74135-2606 |
Second Address | Tulsa, OK 74135-2606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 08/09/2021 |