Individual
MRS. JONETTE KAY PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS/L, ATRIC
Contact information
Practice address
3124 W 24TH AVE, STILLWATER, OK 74074-2101
(405) 334-9444
Mailing address
3124 W 24TH AVE, STILLWATER, OK 74074-2101
(405) 334-9444
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
54
OK
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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