Organization
THERAWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RANDALL JONES PHYSICAL THERAPIST (THERAPIST/ OWNER)
(580) 323-8778
Entity
Organization
Contact information
Practice address
509 S 30TH STREET, CLINTON, OK 73601
(580) 323-8778
(580) 323-8743
Mailing address
PO BOX 86 509 S. 30TH STREET, CLINTON, OK 73601
(580) 323-8778
(580) 323-8743
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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