Provider Demographics
NPI:1003021130
Name:BELCHER, CAROL ANN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:BELCHER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:9531 S 86TH E AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6414
Mailing Address - Country:US
Mailing Address - Phone:918-294-0501
Mailing Address - Fax:918-294-0911
Practice Address - Street 1:2950 S ELM PL
Practice Address - Street 2:#456 BROKEN ARROW ORTHOPEDICS
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7863
Practice Address - Country:US
Practice Address - Phone:918-451-3000
Practice Address - Fax:918-457-2700
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK166225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist