Individual
MRS. JAN HODGES DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
171 BRETT CT, GOLDSBY, OK 73093-1008
(405) 288-2116
Mailing address
171 BRETT CT, GOLDSBY, OK 73093
(405) 288-2116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1261
OK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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