Provider Demographics
NPI:1073636882
Name:RESNICK, LINDA CATHERINE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CATHERINE
Last Name:RESNICK
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 NW 39TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-7119
Mailing Address - Country:US
Mailing Address - Phone:405-524-3039
Mailing Address - Fax:405-525-3039
Practice Address - Street 1:829 NW 39TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7119
Practice Address - Country:US
Practice Address - Phone:405-524-3039
Practice Address - Fax:405-525-3039
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK045225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist