Individual
JENNIFER ANN LAISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
4350 WILL ROGERS PKWY STE 600, OKLAHOMA CITY, OK 73108-1808
(405) 514-1627
Mailing address
2707 S LOBLOLLY LN, EDMOND, OK 73012-1301
(405) 514-1627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1376
OK
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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