Individual
KELLEY JEAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 NE 141ST ST, EDMOND, OK 73013-7235
(405) 478-9892
Mailing address
4113 NE 141ST ST, EDMOND, OK 73013-7235
(405) 478-9892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA275
OK
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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