Individual
LORI MOWBRAY DEERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
709 N COMMERCE ST, ARDMORE, OK 73401-3914
(580) 220-6285
(580) 220-6287
Mailing address
709 N COMMERCE ST, ARDMORE, OK 73401-3914
(580) 220-6285
(580) 220-6287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2464
OK
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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