LATASHA ROSHAWN SUTTLE

BROKEN ARROW, OK
NPI1194161661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1664)
Enumeration Date2013-05-10
Last Update Date2013-05-10
Business Address
-- LATASHA ROSHAWN SUTTLE LPTA
1112 W ELMIRA ST
BROKEN ARROW, OK 74012-0871
Phone number: 918-872-1825
Mailing Address
-- LATASHA ROSHAWN SUTTLE LPTA
1112 W ELMIRA ST
BROKEN ARROW, OK 74012-0871
Phone number: 918-872-1825