Individual
ANALESA BEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 FAIRVIEW AVE, PONCA CITY, OK 74601-1923
(580) 762-1641
Mailing address
433 FAIRVIEW AVE, PONCA CITY, OK 74601-1923
(580) 762-1641
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
08/30/2016
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