Individual
LANESE M CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 578-3422
(405) 456-7340
Mailing address
4401 W MEMORIAL RD, SUITE 141, OKLAHOMA CITY, OK 73134-1785
(405) 936-5800
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2671
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2671
LICENSE NUMBER
OK
Enumeration date
11/06/2006
Last updated
02/01/2024
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