Individual
JENNIFER FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14700 SHARON SPRINGS DR, JONES, OK 73049-8700
(405) 623-9178
Mailing address
14700 SHARON SPRINGS DR, JONES, OK 73049-8700
(405) 623-9178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1593
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200273360A
—
OK
01
—
587
LICENSE #
OK
01
—
OT 1593
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
08/30/2006
Last updated
04/27/2022
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