LACEY R FAIRBROTHER

CHOCTAW, OK
NPI1538442769
Former NameLACEY R KNOX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  4499)
Enumeration Date2011-09-23
Last Update Date2015-07-06
Business Address
-- LACEY R FAIRBROTHER PT, DPT
14890 SE 29TH ST
CHOCTAW, OK 73020-3515
Phone number: 405-390-1731
Mailing Address
-- LACEY R FAIRBROTHER PT, DPT
14890 SE 29TH ST
CHOCTAW, OK 73020-3515
Phone number: 405-390-1731
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