Individual provider · Type 1 NPI

Diane Pridemore

Physical Therapy Assistant · Tulsa, OK

NPI number 1922472869 Active

Practice location

5800 E Skelly Dr, Suite 402
Tulsa, OK 74135-6471

Call (918) 497-1068 Map

Mailing address

605 N Nyssa Ave
Broken Arrow, OK 74012-2258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1140 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1922472869

Diane Pridemore's National Provider Identifier is 1922472869, issued on Nov 16, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tulsa, OK. The record was last updated on Nov 16, 2015.