Individual
JENNIFER T CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12899 E 76TH ST N STE 109, OWASSO, OK 74055-4059
(918) 609-6003
Mailing address
911 S SANDUSKY AVE, TULSA, OK 74112-4131
(918) 640-2235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1356
OK
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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