Individual
AMANDA LANGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 ARLINGTON ST STE 1, ADA, OK 74820-2822
(580) 332-5124
Mailing address
1214 E CORONA ST, ADA, OK 74820-2631
(580) 399-5015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1433
LICENSE #
OK
Enumeration date
08/30/2006
Last updated
07/08/2007
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