Provider Demographics
NPI:1477951499
Name:MCGUAR, RANI (MPT)
Entity Type:Individual
Prefix:
First Name:RANI
Middle Name:
Last Name:MCGUAR
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10930 GRACIE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-1165
Mailing Address - Country:US
Mailing Address - Phone:405-496-4962
Mailing Address - Fax:405-216-8602
Practice Address - Street 1:10930 GRACIE DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73025-1165
Practice Address - Country:US
Practice Address - Phone:405-496-4962
Practice Address - Fax:405-216-8602
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT3729225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist