Individual
DEREK KEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1113 S DOUGLAS BLVD STE C, MIDWEST CITY, OK 73130-5245
(405) 931-2518
Mailing address
PO BOX 3675, SHAWNEE, OK 74802-3675
(405) 214-0300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
681
OK
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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