Most Relevant Information
Provider Data
| NPI Number: | 1003391699 |
| Provider Name: | GINA DILLARD PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 5103 |
Most Important Dates
| Enumeration Date: | 09/28/2018 |
| Last Updated: | 09/28/2018 |
Provider Practice Location
721 NW 6TH ST
OKLAHOMA CITY
OK
731021205
Practice Location Phone/Fax
| Phone: | 4059388332 |
| Fax: |
Provider Mailing Location
721 NW 6TH ST
OKLAHOMA CITY
OK
731021205
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |