Individual
JESSE K MCMASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
602 SE WALLOCK ST, LAWTON, OK 73501-5403
(580) 585-5577
Mailing address
2510 NW 52ND ST, APARTMENT FR101, LAWTON, OK 73505-2014
(580) 585-0873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1777
OK
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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