Individual
MS. JILLIAN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
5043 S 136TH EAST AVE, APT. 521, TULSA, OK 74134-7020
(405) 566-9318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2384
OK
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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