Kady Self, TPA | |
1700 S Broadway St Ste E, Moore, OK 73160-5302 | |
(405) 735-8777 | |
(405) 735-8778 |
Full Name | Kady Self |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 1700 S Broadway St Ste E, Moore, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376136630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 3310 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kady Self, TPA 1700 S Broadway St Ste E, Moore, OK 73160-5302 Ph: (405) 735-8777 | Kady Self, TPA 1700 S Broadway St Ste E, Moore, OK 73160-5302 Ph: (405) 735-8777 |
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