Individual
JACOB HOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6729 NW 39TH EXPY, BETHANY, OK 73008-2605
(405) 440-3126
Mailing address
6729 NW 39TH EXPY, BETHANY, OK 73008-2605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4986
OK
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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