Individual
MR. JEFFREY EVANS POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6585 S YALE AVE STE 310, TULSA, OK 74136-8334
(918) 502-4700
(918) 502-4701
Mailing address
6585 S YALE AVE STE 200, TULSA, OK 74136-8315
(918) 481-2767
(918) 481-7611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3654
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200135920A
—
OK
Enumeration date
04/30/2008
Last updated
10/30/2018
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