Individual
JESSE CARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
36488 S HIGHWAY 82, VINITA, OK 74301-7438
(918) 256-0381
(918) 782-2855
Mailing address
36488 S HIGHWAY 82, VINITA, OK 74301-7438
(918) 256-0381
(918) 782-2855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2302
OK
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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