Individual
SHAE LEIGH NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
603 E AVENUE G, HEAVENER, OK 74937-3400
(918) 413-4257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2812
OK
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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