Individual
JADA RACHELLE PINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
9900 SW 140TH RD, WILBURTON, OK 74578-5027
(918) 421-0070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5843
OK
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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