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Individual

MR. RODNEY THOMAS LECHTENBERG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
603 N GRAND AVE, TAHLEQUAH, OK 74464-2302
(915) 276-5711
Mailing address
1530 REDWOOD PL, TAHLEQUAH, OK 74464-6050
(915) 276-5711

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
867
OK
2255A2300X
Athletic Trainer
AT3282
TX

Other

Enumeration date
10/05/2005
Last updated
08/01/2016
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