IndividualActive
Beau Proctor
NPI 1356092076 · Orthopedic Physical Therapist · Oklahoma City, OK
Provider details
- NPI number
- 1356092076
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
519 Nw 23rd St Ste 106
Oklahoma City, OK 73103-1509
Phone: (405) 613-6170
Mailing address
6445 N Sterling Dr
Oklahoma City, OK 73132-6804
Registry dates
- Enumerated
- 2022-01-13
- Last updated
- 2022-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.