Individual
LISA ALTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 STEVE BARRY BLVD, PRYOR, OK 74361-6841
(918) 824-4500
(918) 824-1977
Mailing address
4500 E SAM HOUSTON PKWY S, SUITE 215, PASADENA, TX 77505-3959
(281) 487-2786
(281) 487-3054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1261196
TX
225100000X
Physical Therapist
Primary
CP003248T
OK
Other
Enumeration date
08/24/2015
Last updated
04/21/2021
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