Individual
MARLENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 N 5TH ST, JENKS, OK 74037-3343
(971) 299-8505
Mailing address
5352 E 26TH ST, TULSA, OK 74114-4902
(918) 232-3061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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