Individual
BECKY SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1515 LAWRIE TATUM RD, LAWTON, OK 73507
(580) 353-0350
(580) 355-6234
Mailing address
1515 LAWRIE TATUM RD, LAWTON, OK 73507
(580) 353-0350
(580) 355-6234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S2586
—
NM
Enumeration date
07/20/2005
Last updated
07/08/2007
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