Individual
JENNIFER DYKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 767-9033
Mailing address
2912 NW 190TH CT, EDMOND, OK 73012-2100
(405) 831-3240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4032
OK
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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