Individual
MRS. LAVONDA ANN HENSLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
RR 2 BOX 5069, ROLAND, OK 74954-9625
(479) 650-1123
Mailing address
RR 2 BOX 5069, ROLAND, OK 74954-9625
(479) 650-1123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1904
AR
Other
Enumeration date
02/13/2006
Last updated
07/09/2007
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