Individual
DR. MARY SUE FAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3009 WILSON ST, FT. SILL, OK 73503-9042
(580) 458-2704
Mailing address
1316 NW SHERIDAN RD, PMB #156, LAWTON, OK 73505-5212
(210) 325-4851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1174123
TX
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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