Individual
JESSICA LYNN GENET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
524 W IOLA ST, BROKEN ARROW, OK 74012-2564
(918) 994-5333
(918) 994-5334
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5021
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200603090A
—
OK
Enumeration date
05/22/2015
Last updated
02/07/2021
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