Individual
MS. KENDRA JILL BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
402 W MAIN ST, ANTLERS, OK 74523-2087
(580) 298-9818
(580) 298-9822
Mailing address
402 W MAIN ST, ANTLERS, OK 74523-2087
(580) 298-9818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1855
OK
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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