Individual
JEFF INGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
938 W SHAWNEE ST, MUSKOGEE, OK 74401-3511
(918) 683-7731
Mailing address
11202 S 93RD EAST AVE, BIXBY, OK 74008-1774
(918) 557-5337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2398
OK
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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