Individual
JACKLYN ANNMARIE RINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8110 N 122ND EAST AVE, OWASSO, OK 74055-6205
(918) 639-2212
Mailing address
8110 N 122ND EAST AVE, OWASSO, OK 74055-6205
(918) 639-2212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1349
OK
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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