Individual
JARED L STORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-6068
Mailing address
606 MORNINGSIDE DR, NORMAN, OK 73071-4955
(580) 490-1936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4324
OK
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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