Individual
MRS. JENNIFER K. RANALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
221 E COMANCHE AVE, MCALESTER, OK 74501-5845
(918) 423-1181
(918) 423-1191
Mailing address
221 E COMANCHE AVE, MCALESTER, OK 74501-5845
(918) 423-1181
(918) 423-1191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300530A
—
OK
Enumeration date
08/03/2010
Last updated
01/13/2015
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