Britny Wallen, PTA
Individual provider Active NPI Physical Therapy Assistant · Mounds, OK
NPI 1124229711 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124229711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1423 (OK)
- Practice address
- 1825 N 189 Rd
Mounds, OK 74047-6221 - Phone
- (918) 756-9211
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1423 | OK | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1423 | OK | Yes |
Addresses
Primary practice location
1825 N 189 Rd
Mounds, OK 74047-6221
Mailing address
1825 N 189 Rd
Mounds, OK 74047-6221
Phone (918) 756-9211
Other providers in Mounds, OK
- Quantum Pharmaceuticals
- Allison Karyme Romo I
- Deanna Dawn Steyer
- Nick Vernier
- Anna Vu
- Ginny Lanell Williams
All providers in Mounds, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.