Individual
JILL EILEEN LANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3535 NW 58TH ST STE 850, OKLAHOMA CITY, OK 73112-4806
(405) 602-3295
(405) 602-3297
Mailing address
416 NW 140TH ST, EDMOND, OK 73013-1973
(405) 748-8586
(405) 748-8586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2925
OK
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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