Individual
LARRY COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 ARLINGTON ST, STE 1, ADA, OK 74820-2822
(580) 332-5124
Mailing address
1420 NORTHCREST DR, ADA, OK 74820-4230
(405) 436-2596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547
LICENSE #
OK
Enumeration date
08/25/2006
Last updated
07/08/2007
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