Individual
LAURYN ASHLEIGH BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
433 E STATE HIGHWAY 152, MUSTANG, OK 73064-4519
(405) 353-2159
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3537
OK
Other
Enumeration date
06/08/2022
Last updated
07/26/2022
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