Individual
JEREMY WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2277
Mailing address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4326
OK
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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