Loren Wayne Bengtson, PTA

NPI #1447496278 in Vinita, Oklahoma

Provider Information

NPI Number
1447496278
Entity Type
Individual
Name
Loren Wayne Bengtson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 29, 2008
Last Updated
Dec 29, 2008

Practice Location

Address
20355 S 4450 RD
City
Vinita
ZIP Code
74301-5703
Phone
(918) 256-8453

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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