Individual
MRS. LATRINA FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6500 N PORTLAND AVE, OKLAHOMA CITY, OK 73116-2035
(405) 767-6500
Mailing address
2801 PRESCOTT PL, EDMOND, OK 73013-2920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4875
OK
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/04/2018
Last updated
03/01/2022
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