Individual
MRS. LISA LYNN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-0518
(580) 765-0203
Mailing address
205 VIRGINIA AVE, PONCA CITY, OK 74601-3433
(580) 765-0857
(580) 765-0203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2596
OK
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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