Individual
JAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3238 S 127TH EAST AVE, TULSA, OK 74146-2335
(918) 855-4564
Mailing address
3238 S 127TH EAST AVE, TULSA, OK 74146-2335
(918) 855-4564
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1320
OK
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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