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Individual

CHARLES LOFTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
5105 SE 45TH TER, OKLAHOMA CITY, OK 73135-3175
(405) 408-3204
Mailing address
5105 SE 45TH TER, OKLAHOMA CITY, OK 73135-3175

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4677
OK
2251S0007X
Sports Physical Therapist
Primary
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
03/17/2016
Last updated
11/06/2024
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