LACY CLEVENGER

NPI: 1356936629 · Individual · Active

Primary Specialty

Physical Therapy Assistant

Practice Location

12326 E 86TH ST N
OWASSO, OK 74055-2543 Map ↗
Phone: 918-272-1923

All Specialties & Licenses

  • Physical Therapy Assistant Primary (license: 2230, OK)

NPI Registration

Enumerated: 2021-03-08

Last CMS Update: 2021-07-22