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Individual

JEREMY AITSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3030 NW EXPRESSWAY STE 809, OKLAHOMA CITY, OK 73112-5466
(405) 917-7160
Mailing address
3030 NW EXPRESSWAY STE 809, OKLAHOMA CITY, OK 73112-5466
(405) 917-7160

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1158
OK

Other

Enumeration date
12/18/2016
Last updated
12/18/2016
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