Individual
MEGAN JADE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6500 N PORTLAND AVE, OKLAHOMA CITY, OK 73116-2035
(405) 767-6500
Mailing address
1011 SAINT ANDREWS DR, EDMOND, OK 73025-2646
(405) 517-5556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5288
OK
Other
Enumeration date
08/08/2017
Last updated
03/17/2018
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