Individual
JADE ASHTON THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2543
OK
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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