Individual
VICTOR LANDAVERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCRP
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 681-6819
Mailing address
PO BOX 3864, MUSKOGEE, OK 74402-3864
(918) 506-1401
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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