Individual
JENNIFER LYNNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6400 N SANTA FE AVE, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
(405) 840-3256
Mailing address
2529 NW 115TH PL, OKLAHOMA CITY, OK 73120-6901
(405) 751-8081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2038
OK
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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