Individual
LANETTE R DECELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4157 S HARVARD, #117, TULSA, OK 74135
(918) 712-7868
(918) 749-2901
Mailing address
4157 S HARVARD, #117, TULSA, OK 74135
(918) 712-7868
(918) 749-2901
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1780
OK
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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