Individual
JAILENE AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 SW 59TH ST, OKLAHOMA CITY, OK 73109-8321
(405) 355-3239
Mailing address
309 SW 59TH ST, OKLAHOMA CITY, OK 73109-8321
(405) 355-3239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2641
OK
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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