Individual
JADYN CROOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
119 E 4TH ST, TULSA, OK 74103-5002
(918) 382-0200
Mailing address
703 S OWASSO AVE APT A104, TULSA, OK 74120-4664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5691
OK
Other
Enumeration date
05/29/2019
Last updated
07/22/2021
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