Provider Demographics
NPI:1730202284
Name:DIONNE, CAROL PIERCE (PT, PHD, OCS)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:PIERCE
Last Name:DIONNE
Suffix:
Gender:F
Credentials:PT, PHD, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 WINNERS CIR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5881
Mailing Address - Country:US
Mailing Address - Phone:405-341-0716
Mailing Address - Fax:
Practice Address - Street 1:2809 SW 119TH STREET
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170
Practice Address - Country:US
Practice Address - Phone:405-735-2270
Practice Address - Fax:405-735-2273
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK38502251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic