Individual
MR. DONALD JOSEPH LAUDERDALE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1723 KANSAS AVE, WOODWARD, OK 73801-2909
(580) 256-4050
(580) 256-4072
Mailing address
1723 KANSAS AVE, WOODWARD, OK 73801-2909
(580) 256-4050
(580) 256-4072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT795
OK
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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