Individual
JAY DEE BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9211 N 139TH EAST AVE, OWASSO, OK 74055-4593
(918) 638-7464
Mailing address
9211 N 139TH EAST AVE, OWASSO, OK 74055-4593
(918) 638-7464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2729
OK
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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