Individual
EMILY SARAH KITZROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21 NW 29TH ST, LAWTON, OK 73505-6215
(580) 250-5385
Mailing address
21 NW 29TH ST, LAWTON, OK 73505-6215
(580) 250-5385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1407
OK
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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