Individual
JAMI WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5831 BETHEL RD, SHAWNEE, OK 74804-0916
(972) 679-5874
Mailing address
5831 BETHEL RD, SHAWNEE, OK 74804-0916
(972) 679-5874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4598
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4598
PT LICENSE
OK
Enumeration date
04/28/2015
Last updated
04/28/2015
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