Individual
JENNIFER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 W COLORADO ST, WALTERS, OK 73572-1018
(580) 450-1146
Mailing address
1210 W COLORADO ST, WALTERS, OK 73572-1018
(580) 450-1146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA461
OK
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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