Individual
MS. JENNIFER ELAINA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/L, CLT
Contact information
Practice address
3125 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-3131
(405) 343-9027
Mailing address
3112 NW 171ST TER, EDMOND, OK 73012-0620
(940) 859-4752
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
113223
TX
171W00000X
Contractor
1560
OK
225X00000X
Occupational Therapist
Primary
1560
OK
Other
Enumeration date
01/08/2010
Last updated
08/21/2024
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