Individual
JENNIFER LEE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6400 N SANTA FE AVE, STE B, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256
Mailing address
PO BOX 14577, OKLAHOMA CITY, OK 73113-0577
(405) 840-3774
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
913
OK
Other
Enumeration date
08/31/2006
Last updated
07/25/2007
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