Individual
JARRETT WESTON PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
Mailing address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5964
OK
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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