Individual
DR. TREMAYNE PRUDHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11462 S UNION AVE STE E, JENKS, OK 74037-6902
(918) 417-2607
Mailing address
11462 S UNION AVE STE E, JENKS, OK 74037-6902
(918) 417-2607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
153402
OK
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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