Individual
LESLIE CATHERINE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7707 W BRITTON RD, OKLAHOMA CITY, OK 73132-1512
(405) 720-7200
Mailing address
2652 COLES CREEK LN, YUKON, OK 73099-2360
(405) 431-9347
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2163
OK
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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