Individual
MRS. JENNIFER NIKOL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4501 E 108TH PLACE, TULSA, OK 74137
(918) 296-3330
Mailing address
4501 E 108TH PLACE, TULSA, OK 74137
(918) 296-3330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2877
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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