Most Relevant Information
Provider Data
| NPI Number: | 1003038126 |
| Provider Name: | TRINA M VANNATTA PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 1396 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6161 S YALE AVE
TULSA
OK
741361902
Practice Location Phone/Fax
| Phone: | 9184941471 |
| Fax: |
Provider Mailing Location
13043 N 132ND EAST AVE
COLLINSVILLE
OK
740214115
Provider Mailing Phone/Fax
| Phone: | 9183715921 |
| Fax: |