Individual
JADE NICOLE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3030 NW EXPRESSWAY, SUITE 809, OKLAHOMA CITY, OK 73112-5474
(866) 848-8813
Mailing address
3030 NW EXPRESSWAY, SUITE 809, OKLAHOMA CITY, OK 73112-5474
(866) 848-8813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1911
OK
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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