Individual
JENNIFER NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1316 NW 138TH ST, EDMOND, OK 73013-1652
(817) 395-3206
Mailing address
1316 NW 138TH ST, EDMOND, OK 73013-1652
(817) 395-3206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5568
OK
225100000X
Physical Therapist
PTL.0011629
CO
Other
Enumeration date
11/19/2018
Last updated
10/19/2021
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