Individual
DR. PAUL J. LABRECHE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., P.T.
Contact information
Practice address
ELITE PERFORMANCE & REHABILITATION, 12806 E. 101ST PLACE N., OWASSO, OK 74055
(918) 376-4243
(918) 376-4249
Mailing address
12806 E 101ST PL N, OWASSO, OK 74055-4662
(918) 376-4243
(918) 376-4249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11018
TX
225100000X
Physical Therapist
1152378
TX
225100000X
Physical Therapist
Primary
4574
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4079
OK CHIROPRACTIC BOARD OF EXAMINERS
OK
01
—
4574
OK MEDICAL BOARD
OK
Enumeration date
10/29/2008
Last updated
08/25/2021
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