Organization
PARK RIDGE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEONOR WATKINS PT (PHYSICAL THERAPIST-OWNER)
(580) 248-5668
Entity
Organization
Contact information
Practice address
1401 SW PARKRIDGE BLVD, SUITE A, LAWTON, OK 73505
(580) 248-5668
(580) 248-0785
Mailing address
1401 SW PARKRIDGE BLVD, SUITE A, LAWTON, OK 73505
(580) 248-5668
(580) 248-0785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2643
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848830A
—
OK
Enumeration date
01/11/2007
Last updated
07/13/2010
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