Individual provider · Type 1 NPI
My Chuong Ta, BS, PT, MPT
Specialist · Oklahoma City, OK
NPI number
1841568060
Active
Practice location
3328 N Classen Blvd
Oklahoma City, OK 73118-3428
Fax (405) 524-5206
Mailing address
1516 SW 122nd St
Oklahoma City, OK 73170-4855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3619 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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About NPI 1841568060
My Chuong Ta, BS, PT, MPT's National Provider Identifier is 1841568060, issued on Dec 1, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 1, 2011.