Provider Demographics
NPI:1205318532
Name:MEFTAH, LOBAT (PT, DPT)
Entity type:Individual
Prefix:
First Name:LOBAT
Middle Name:
Last Name:MEFTAH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10960 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-6202
Mailing Address - Country:US
Mailing Address - Phone:405-673-6673
Mailing Address - Fax:405-673-6675
Practice Address - Street 1:10960 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6202
Practice Address - Country:US
Practice Address - Phone:405-673-6673
Practice Address - Fax:405-673-6675
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist