Individual
MS. JACQUELINE G DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4004 S YALE AVE, TULSA, OK 74135-6017
(918) 622-4126
(918) 270-2398
Mailing address
9504 E SHADOWBROOK DR, CLAREMORE, OK 74017-4173
(918) 343-4199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1369
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7464396
AETNA
—
Enumeration date
08/17/2006
Last updated
10/23/2007
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