Individual
GARVIN LEE WEST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6205 NW FERRIS AVE, LAWTON, OK 73505-5703
(580) 353-0334
(580) 585-6350
Mailing address
613 S CENTRAL ST, WALTERS, OK 73572-3003
(580) 704-6523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3294
OK
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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