Individual
JARRETT CARLTON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S. JT STITES, SALLISAW, OK 74955
(918) 774-1454
Mailing address
468599 E 1070 RD, SALLISAW, OK 74955-7151
(918) 775-5903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1222
OK
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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