Individual
LEAH LORENE DOWTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 W ADAMS ST, CORN HERITAGE NURSING HOME, CORN, OK 73024
(580) 330-0609
Mailing address
RT. 2 BOX 38A, HYDRO, OK 73048
(580) 330-0609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1413
OK
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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