Search › Oklahoma › 2255A2300X
Grace Fornwalt, MHR, ATC, LAT, CES
NPI 1518520931 · on the registry since 2019
Practice
- Address
- 375 Triad Village Dr Unit 14
Norman, OK 73071 - Phone
- (314) 753-6506
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
2255A2300X - Licence states on file
- MO, TX, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma