Most Relevant Information
Provider Data
| NPI Number: | 1003572876 |
| Provider Name: | BAILEY CLARK PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2938 |
Most Important Dates
| Enumeration Date: | 11/16/2021 |
| Last Updated: | 11/16/2021 |
Provider Practice Location
2488 E 81ST ST STE 290
TULSA
OK
741374265
Practice Location Phone/Fax
| Phone: | 9184942665 |
| Fax: | 9189273201 |
Provider Mailing Location
2488 E 81ST ST STE 290
TULSA
OK
741374265
Provider Mailing Phone/Fax
| Phone: | 9184942665 |
| Fax: | 9189273201 |