Individual
MRS. JENNIFER LUCILLE ZERVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
117 W 5TH ST STE 1, BARTLESVILLE, OK 74003-6651
(918) 203-3313
(918) 512-4082
Mailing address
117 W 5TH ST # 1, BARTLESVILLE, OK 74003-6651
(918) 203-3313
(918) 512-4082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003011047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003011047
STATE LICENSE
MO
Enumeration date
03/17/2020
Last updated
03/17/2020
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