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Individual

MRS. LORI TREGONING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4705 W URBANA ST, BROKEN ARROW, OK 74012-5998
(918) 381-9023
(918) 518-6510
Mailing address
4705 W URBANA ST, BROKEN ARROW, OK 74012-5998
(918) 381-9023
(918) 518-6510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2371
OK

Other

Enumeration date
11/13/2010
Last updated
11/13/2010
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