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Individual

KATELYNN MARIE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
938 W SHAWNEE ST, MUSKOGEE, OK 74401-3511
(918) 683-7731
Mailing address
105247 S 4280 RD, CHECOTAH, OK 74426-2670
(918) 617-3877

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3656
OK

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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