Individual
MR. JIMMY LLOYD LYTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3030 NW EXPRESSWAY ST, SUITE 809, OKLAHOMA CITY, OK 73112-5474
(405) 917-7160
(405) 917-7161
Mailing address
713 NORTH VERNON STREET, HINTON, OK 73047-9106
(405) 542-3227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1309
OK
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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