Individual
MR. JARED SHANE ROMINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 272-5555
(580) 421-6217
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-6217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2042
OK
Other
Enumeration date
07/20/2016
Last updated
07/28/2016
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