BAILE LANE LOUDERBACK

SAPULPA, OK
NPI1316791452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  6585)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2024-04-15
Last Update Date2026-01-26
Business Address
BAILE LANE LOUDERBACK DPT
717 S MISSION ST
SAPULPA, OK 74066-4659
Phone number: 918-227-7878
Mailing Address
BAILE LANE LOUDERBACK DPT
2488 E 81ST ST STE 290
TULSA, OK 74137-4299
Phone number: