Individual
JAMIE KOERITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5416
OK
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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