Individual
MS. JESSICA L. GUTHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 W BOYD ST, NORMAN, OK 73069-4801
(405) 366-7898
(405) 366-0010
Mailing address
1201 W BOYD ST, NORMAN, OK 73069-4801
(405) 366-7898
(405) 366-0010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3370
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200997460A
—
OK
01
—
3370
STATE OF OK
OK
Enumeration date
07/09/2021
Last updated
05/18/2023
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