Individual
MRS. JENNIFER KAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 S 3RD ST, ENID, OK 73701-5737
(580) 548-1164
Mailing address
1717 CALICO LN, ENID, OK 73703-1690
(580) 747-2064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2004
OK
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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