Individual
JEFFREY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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