Individual
LORINDA JEAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1023 TEXAS ST, WOODWARD, OK 73801-3127
(580) 254-7585
Mailing address
1023 TEXAS ST, WOODWARD, OK 73801-3127
(580) 254-7585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
157051
OK
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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