Individual
BENJAMIN A MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11462 S UNION AVE, SUITE E, JENKS, OK 74037
(918) 417-2607
(918) 417-2601
Mailing address
11462 S UNION AVE, SUITE E, JENKS, OK 74037
(918) 417-2607
(918) 417-2601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OK4995
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092180A
—
OK
Enumeration date
05/27/2015
Last updated
03/08/2023
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