Individual
LEESA L MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2421 S YORK ST, SUITE 14, MUSKOGEE, OK 74403-8820
(918) 683-8088
(918) 683-8093
Mailing address
3278 BECHELLI LN, REDDING, CA 96002-2005
(530) 223-9474
(530) 223-6937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2383
OK
Other
Enumeration date
08/09/2006
Last updated
10/30/2018
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