Organization
JADAM LAWTON LLC
Active
Other names
Fusion Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RODRICK (OFFICE MANAGER)
(580) 699-5455
Entity
Organization
Contact information
Practice address
1354 NW HOMESTEAD DR, LAWTON, OK 73505-5223
(580) 699-5455
(580) 215-4991
Mailing address
1354 NW HOMESTEAD DR, LAWTON, OK 73505-5223
(580) 699-5455
(580) 215-4991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
10/14/2020
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