Individual
MR. RONALD LEROY LANGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3535 NW 58TH ST, SUITE 850, OKLAHOMA CITY, OK 73112-4802
(405) 602-3295
Mailing address
416 NW 140TH ST, EDMOND, OK 73013-1973
(405) 748-8586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2918
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2918
PHYSICAL THERAPY LICENSE
OK
Enumeration date
04/04/2007
Last updated
07/08/2007
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