Individual
JOSHUA LAEL UTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 S WASHINGTON ST, ARDMORE, OK 73401-7036
(580) 223-3383
(580) 223-6696
Mailing address
2 W MAIN ST, SUITE 200, ARDMORE, OK 73401-6505
(580) 223-3383
(580) 223-6696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2864
OK
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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