Organization
DURANT PHYSICAL THERAPY & AQUATIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA ALLENE JONES PTA (PHYSICAL THERAPY ASSISTANT)
(580) 920-2231
Entity
Organization
Contact information
Practice address
1004 N 19TH AVE BLDG 4, DURANT, OK 74701-3017
(580) 920-2231
Mailing address
1004 N 19TH AVE BLDG 4, DURANT, OK 74701-3017
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1340
OK
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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