JUSTIN LUM

OWASSO, OK
NPI1598152407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  4972)
Enumeration Date2015-04-17
Last Update Date2018-09-20
Business Address
JUSTIN LUM DPT
12326 E 86TH ST N
OWASSO, OK 74055
Phone number: 918-272-3750
Mailing Address
JUSTIN LUM DPT
4812 E 33RD ST
TULSA, OK 74135-2038
Phone number: 918-622-4126