Individual
THOMAS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2225 N UNION ST, PONCA CITY, OK 74601-1555
(918) 418-9993
Mailing address
913 BRENTWOOD DR, PONCA CITY, OK 74601-1618
(580) 716-7097
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225200000X
Physical Therapy Assistant
1141
OK
Other
Enumeration date
06/06/2007
Last updated
10/11/2021
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