Individual
MRS. JENNIFER BEACH YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-4250
Mailing address
8708 E 134TH ST S, BIXBY, OK 74008-3425
(918) 369-8548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA215
OK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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