Individual
LAURA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12641 S STATE HIGHWAY 51, COWETA, OK 74429-6476
(918) 486-1338
Mailing address
8712 S 77TH EAST PL, TULSA, OK 74133-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6061
OK
Other
Enumeration date
08/09/2021
Last updated
05/06/2022
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