Individual
CYNTHEA MIKA MY HOSODA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5820
(580) 379-5829
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6400
OK
225100000X
Physical Therapist
PT-5342
HI
Other
Enumeration date
01/24/2022
Last updated
01/16/2024
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