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Jimmy Stanton, P.T

NPI 1972685469 · on the registry since 2006

Practice

Address
4645 W Gore Blvd
Suite E
Lawton, OK 73505
Phone
(580) 355-6785
Fax
(580) 355-6788
Organisation at this address
Providence Service Corporation
Valir Outpatient Clinic #16 Llc
Providence Service Corporation Of Oklahoma
Providence Service Corporation Of Oklahoma
Oklahoma Physical Therapy Lawton Spine Care Sports Rehab Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma