Individual
BAILE LANE LOUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
717 S MISSION ST, SAPULPA, OK 74066-4659
(918) 227-7878
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6585
OK
225100000X
Physical Therapist
—
OK
Other
Enumeration date
04/15/2024
Last updated
01/26/2026
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