Individual
JONAH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 NW 12TH ST, OKLAHOMA CITY, OK 73106-6802
(405) 231-5800
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3903
OK
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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