Individual
RUSSEL JANKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 W BROADWAY ST, MUSKOGEE, OK 74401-6245
(918) 681-7555
Mailing address
PO BOX 1536, MUSKOGEE, OK 74402-1536
(918) 681-7555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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