Individual
MISS MEGHAN FANLI LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
14607 S 305TH EAST AVE, COWETA, OK 74429
(918) 486-4474
Mailing address
14607 S 305TH EAST AVE, COWETA, OK 74429
(918) 486-4474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1433
OK
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Enumeration date
08/29/2023
Last updated
06/19/2026
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