KEISHA FORT

DURANT, OK
NPI1376653311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  3826)
Enumeration Date2006-08-30
Last Update Date2007-07-09
Business Address
-- KEISHA FORT RPT
1212 FOUR SEASONS DR
DURANT, OK 74701-2430
Phone number: 580-931-9218
Mailing Address
-- KEISHA FORT RPT
PO BOX 831
MADILL, OK 73446-0831
Phone number: 580-795-3301
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