Basic Information
| Provider Information | |||||||||
| NPI: | 1154574788 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLEN | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | STRICKLAND | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | P.T., C.W.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 921 NE 13TH ST | ||||||||
| Address2: | RM. 2A157 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731045007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4054563749 | ||||||||
| FaxNumber: | 4054561734 | ||||||||
| Practice Location | |||||||||
| Address1: | 6520 N MISSOURI AVE | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731117928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4054563749 | ||||||||
| FaxNumber: | 4054561734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2008 | ||||||||
| LastUpdateDate: | 10/28/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT1175 | OK | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.