Provider Demographics
NPI:1811662497
Name:BELL, DARLA SUE (DPT)
Entity type:Individual
Prefix:DR
First Name:DARLA
Middle Name:SUE
Last Name:BELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DARLA
Other - Middle Name:SUE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-0056
Mailing Address - Country:US
Mailing Address - Phone:918-938-7107
Mailing Address - Fax:
Practice Address - Street 1:8283 N OWASSO EXPY STE C
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-3600
Practice Address - Country:US
Practice Address - Phone:918-938-7107
Practice Address - Fax:918-393-0007
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-15
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5272225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist