Individual
JENSEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 E 7TH ST, OKMULGEE, OK 74447-4607
(918) 938-0887
Mailing address
1609 HOUSTON ST, MUSKOGEE, OK 74403-3528
(918) 348-0919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3517
OK
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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