Individual
BRUCE RAY LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
724 24TH AVE., N.W., SUITE 100, NORMAN, OK 73069
(405) 447-1571
(405) 447-1579
Mailing address
724 24TH AVE., N.W., SUITE 100, NORMAN, OK 73069
(405) 447-1571
(405) 447-1579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
819
OK
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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