SUSAN MICHELLE LANE

CLAREMORE, OK
NPI1851442990
Former NameSUSAN MICHELLE GOOD-POSEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1270)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- SUSAN MICHELLE LANE PTA
1202 N MUSKOGEE PL
CLAREMORE, OK 74017-3058
Phone number: 918-342-6703
Mailing Address
-- SUSAN MICHELLE LANE PTA
PO BOX 2394
CLAREMORE, OK 74018-2394
Phone number: 918-636-1234
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