Individual
JORDAN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 N 9TH ST, BROKEN ARROW, OK 74012-2388
(918) 301-3189
Mailing address
2800 N 23RD ST APT 2035, BROKEN ARROW, OK 74014-2044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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