Organization
PHYSICAL THERAPY HEALTH & SPORTS CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JOSEPH LAUDERDALE P.T. (OWNER)
(580) 256-4050
Entity
Organization
Contact information
Practice address
1723 KANSAS AVE, WOODWARD, OK 73801-2909
(580) 256-4050
(580) 256-4072
Mailing address
1723 KANSAS AVE, WOODWARD, OK 73801-2909
(580) 256-4050
(580) 256-4072
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT795
OK
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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