Individual
JAINA SOODSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W MAIN ST STE F, JENKS, OK 74037-3553
(918) 298-2381
Mailing address
715 W MAIN ST STE F, JENKS, OK 74037-3553
(918) 298-2381
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3784
OK
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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