Individual
MRS. JENNI RAE LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T. ASSISTANT
Contact information
Practice address
705 5TH ST, KREMLIN PUBLIC SCHOOLS, KREMLIN, OK 73753
(580) 874-2284
Mailing address
13800 N BOOMER RD, ENID, OK 73703-2108
(580) 554-0501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
570
OK
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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