Individual
KAYLEE DELATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 E MELTON DR, JAY, OK 74346-2704
(918) 253-1707
Mailing address
903 S BROADWAY ST, GROVE, OK 74344-2819
(918) 801-6899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2991
OK
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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