Doctor Name: | MRS. LANA J MOORE |
NPI Number: | 1215994553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RPT |
License Number: | PT1691 |
Business Practice Address: | 916 Sw 38th St Suite C Lawton, OK - 73505 |
Business Phone Number: | 5803531490 |
Business Fax Number: | 5802501651 |
Mailing Address: | 885 Sw Country Hwy 115, CACHE |
State: | OK |
Postal Code: | 735274727 |
Phone Number: | 5804298569 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |