Individual
MISS LADAWNA J KILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
11704 S VINE ST, JENKS, OK 74037-4342
(918) 299-7118
Mailing address
11704 S VINE ST, JENKS, OK 74037-4342
(918) 299-7118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2338
OK
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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