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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAGE W PARK, DPT

Active

GAGE W PARK, DPT is a Physical Therapy Assistant healthcare provider located in PRYOR, Oklahoma. NPI 1073138434 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PRYOR, OK

Registration Details

NPI Number
1073138434
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2020 (6.1908932845691 yrs)
Last Updated
Jun 11, 2020
License
5808 (OK)

Practice Information

Address
165 STEVE BARRY BLVD
PRYOR, OK, 743616841
Browse OK providers · Browse ZIP 74361
Phone
9188244500
Fax
9188241977
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PRYOR, OK

Name Credential NPI
MRS. WENDI SCHAFFITZEL PT, CHT 1417937897
JASON P HARTOG MPT 1154512564
ANGELA MARIE COHEN PT 1154615599
LISA ALTENA 1366819591
BRYAN AUSTIN RIGGS DPT 1790230126
DERIC FENZL DPT 1699295162
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.