Provider Demographics
NPI:1407823057
Name:FITTER, LINDA CRANE (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CRANE
Last Name:FITTER
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 N INTERSTATE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3353
Mailing Address - Country:US
Mailing Address - Phone:405-573-0121
Mailing Address - Fax:405-573-0124
Practice Address - Street 1:1250 N INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3353
Practice Address - Country:US
Practice Address - Phone:405-573-0121
Practice Address - Fax:405-573-0124
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK376560Medicare ID - Type Unspecified