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Individual

JEFF B. COURCIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
14017 N EASTERN AVE, EDMOND, OK 73013-5586
(405) 478-5333
(405) 478-5334
Mailing address
14017 N EASTERN AVE, EDMOND, OK 73013-5586
(405) 478-5333
(405) 478-5334

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2719
OK
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200250870A
OK
01
2719
PT LICENSE
OK
01
CE20202042
HANDS-ON DIAGNOSTICS
Enumeration date
09/22/2006
Last updated
05/07/2025
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