Individual
MRS. JESSICA CAROLANN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E OMAHA ST, BROKEN ARROW, OK 74012-1761
(918) 449-5600
Mailing address
251 E OMAHA ST, BROKEN ARROW, OK 74012-1761
(918) 449-5600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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