Individual
JENNIFER CABANISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 SE 6TH ST, MOORELAND, OK 73852-9064
(888) 873-4221
Mailing address
402 SE 6TH ST, MOORELAND, OK 73852-9064
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000
OK
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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