Individual
KEELY PAIGE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Mailing address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3565
OK
Other
Enumeration date
08/08/2022
Last updated
11/06/2023
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