Individual
JACOB BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3260
Mailing address
3749 SOUTHRIDGE CIR APT 7, TAHLEQUAH, OK 74464-7928
(918) 575-1706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5286
OK
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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