Individual
JILL MARIE TEPKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
Mailing address
621 SHADOW VIEW CT, NORMAN, OK 73072-4827
(405) 364-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
734
OK
Other
Enumeration date
02/19/2007
Last updated
07/09/2007
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