Individual
AMY L LAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., P.T
Contact information
Practice address
2475 BOARDWALK, NORMAN, OK 73069-6332
(405) 447-1991
(405) 447-1198
Mailing address
2475 BOARDWALK, NORMAN, OK 73069-6332
(405) 447-1991
(405) 447-1198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2689
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200130100A
—
OK
01
—
4583866
AETNA
OK
Enumeration date
01/13/2006
Last updated
04/10/2009
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