Individual
ANTHONY JOSEPH LA SORSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4417 W GORE BLVD, SUITE 14, LAWTON, OK 73505-5978
(580) 353-9399
(580) 353-2624
Mailing address
4417 W GORE BLVD, SUITE 14, LAWTON, OK 73505-5978
(580) 353-9399
(580) 353-2624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2929
OK
Other
Enumeration date
03/27/2006
Last updated
12/10/2009
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