Individual
GENA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED O.T.
Contact information
Practice address
21603 SE 59TH ST, NEWALLA, OK 74857-8320
(405) 388-4293
Mailing address
21603 SE 59TH ST, NEWALLA, OK 74857-8320
(405) 388-4293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
188
OK
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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