Whalio Doctors

NPI 1730403031

Keith A. Gladden, BHRS

Practitioner Rehabilitation Counselor Lawton, OK

Practice location

Address
1719 SW 11th St, Lawton, OK 73501-7305
Phone
(580) 581-1818
Fax
(580) 581-1819
Mailing address
PO Box 662, Purcell, OK 73080-0662

Registered specialties (2)

Rehabilitation Counselor Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence N/A
Orientation and Mobility Training Rehabilitation Counselor
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225CX0006X

Registry record

NPI
1730403031
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Mar 2010
Record last updated
16 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.