Tanner, Larry Sidney

Tanner, Larry Sidney is an sole proprietor health care provider with primary practice located at 1519 N Oklahoma Ave , Shawnee OK 74804-3848. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tanner, Larry Sidney can be contacted via phone (405) 919-0135.

Contact Information

Primary practice address
1519 N Oklahoma Ave Shawnee OK 74804-3848
Phone: (405) 919-0135
Fax: (405) 273-7084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1807 Oklahoma

Profile Details

NPI number 1336368018
LBN Legal business name Tanner, Larry Sidney
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jan 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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