Individual
LESLI BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-4570
(580) 436-2675
Mailing address
1001 NORTH COUNTRY CLUB ROAD, ADA, OK 74820
(580) 421-4570
(580) 436-2675
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1516
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516
PTA LICENSE
OK
Enumeration date
12/16/2008
Last updated
12/16/2008
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