Provider Demographics
NPI:1902638083
Name:DO, GIA T (BS, AAS, PTA)
Entity type:Individual
Prefix:MISS
First Name:GIA
Middle Name:T
Last Name:DO
Suffix:
Gender:F
Credentials:BS, AAS, PTA
Other - Prefix:MISS
Other - First Name:GIANG
Other - Middle Name:
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11414 E 51ST ST STE E
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-5825
Mailing Address - Country:US
Mailing Address - Phone:918-249-0623
Mailing Address - Fax:
Practice Address - Street 1:11414 E 51ST ST STE E
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-5825
Practice Address - Country:US
Practice Address - Phone:918-249-0623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3787225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant