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Contact Information

MEGAN J MODDELMOG, MSPT
8011 S SHERIDAN RD
STE B
TULSA, OK74133
 Phone: 918-481-3390
 Fax: 918-481-3510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MEGAN J MODDELMOG · (Female)

NPI # 1174591069
Status Active
Credentials MSPT (Master of Science in Physical Therapy)
Entity Individual
Enumeration date 03/08/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 3715
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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