Individual
GARY SPOTTEDHORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1700 NW FORT SILL BLVD, LAWTON, OK 73507-4064
(580) 355-1616
Mailing address
1700 NW FORT SILL BLVD, LAWTON, OK 73507-4064
(580) 355-1616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3000
OK
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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