Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA C SMALL, MD
ActivePhysical Medicine & Rehabilitation · FORT SILL, OK
Registration Details
- NPI Number
- 1720074255
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2005 (20.626498101964 yrs)
- Last Updated
- Jan 3, 2024
- License
-
24054 (OK)
Practice Information
- Address
-
4301 WILSON STFORT SILL, OK, 735034472Browse OK providers · Browse ZIP 73503
- Phone
- 5805588497
- Fax
- 5805583323
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.