Individual
KRIS LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
817 W CHEROKEE ST, WAGONER, OK 74467-4616
(918) 485-3100
Mailing address
PO BOX 721018, NORMAN, OK 73070-4786
(918) 270-1378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3083
OK
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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