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Individual

LEA FRASCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
221 E COMANCHE, MC ALESTER, OK 74501
(918) 423-1181
Mailing address
5260 HILLTOP DR, MC ALESTER, OK 74501
(918) 426-6314

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TA742
LICENSE #
GA
Enumeration date
09/29/2006
Last updated
07/08/2007
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