Individual
MR. BRIAN LEE HOSTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 NW 50TH ST, OKLAHOMA CITY, OK 73112-8013
(405) 606-6886
Mailing address
6709 NW 12TH ST, OKLAHOMA CITY, OK 73127-4233
(405) 818-2545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2784
OK
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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