Individual
JODI MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1907 REFINERY RD, GAINESVILLE, TX 76240-2111
(940) 665-0386
Mailing address
6913 WARD RANCH RD, MARIETTA, OK 73448-9674
(580) 276-6860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2079441
TX
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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