Most Relevant Information
Provider Data
| NPI Number: | 1003036799 |
| Provider Name: | PAMELA THACKER KANTNER RPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT1123 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6161 S YALE AVE
TULSA
OK
741361902
Practice Location Phone/Fax
| Phone: | 9184941471 |
| Fax: | 9184941494 |
Provider Mailing Location
4505 E 103RD ST
TULSA
OK
741375946
Provider Mailing Phone/Fax
| Phone: | 9184941443 |
| Fax: | 9184941494 |