Individual
HAILEY JORDAN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
724 24TH AVE NW STE 100, NORMAN, OK 73069-6214
(405) 447-1571
Mailing address
9601 60TH ST, NOBLE, OK 73068-5437
(405) 361-7989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5980
OK
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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