Individual
CRYSTAL LEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 S.E. WALLOCK, LAWTON, OK 73501
(580) 355-1513
Mailing address
7915 NW ANDREWS, LAWTON, OK 73505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1488
OK
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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