Individual
MS. JENNY LYNN CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
24456 KERR RD, POTEAU, OK 74953-8163
(918) 649-0405
(918) 647-0403
Mailing address
38271 HARMON RD, WISTER, OK 74966-2707
(918) 649-0405
(918) 647-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3661
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064390A
—
OK
Enumeration date
12/15/2005
Last updated
08/21/2013
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