Individual
MRS. LACEY PAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1355 W ROGERS BLVD, 10, SKIATOOK, OK 74070-4204
(918) 333-5100
(918) 333-5102
Mailing address
PO BOX 3008, BARTLESVILLE, OK 74006-3008
(918) 333-5100
(918) 333-5102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4494
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522010
—
OK
Enumeration date
12/02/2013
Last updated
04/02/2014
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