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Kristopher Carl Dorris, P.T.

Physical Therapist in Lawton, OK. Individual provider (NPI-1).

NPI number1528290210
StatusActive
Last updated in NPPESMay 30, 2013

Details

NPI
1528290210
Entity type
Individual (NPI-1)
Name
Mr. Kristopher Carl Dorris
Credential
P.T.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 14, 2009
Last updated
May 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1161350TXYes
2251X0800X Physical Therapist, Orthopedic1161350TX

Practice location

602 Se Wallock St
Lawton, OK 73501-5403

Phone 580-585-5577 · Fax 580-248-9377

Mailing address

602 Se Wallock St
Lawton, OK 73501-5403

Phone 580-585-5577 · Fax 580-248-9377

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