Individual
MICHELLE SANDRA SPROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3614 NE WILLOW WAY, LAWTON, OK 73507-4200
(512) 656-7630
Mailing address
3614 NE WILLOW WAY, LAWTON, OK 73507-4200
(512) 656-7630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1140325
TX
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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