JENNIFER J WALLACE

MCALESTER, OK
NPI1114150604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  632)
Enumeration Date2009-08-31
Last Update Date2021-03-25
Business Address
JENNIFER J WALLACE COTA/L
101 OKLAHOMA AVE
MCALESTER, OK 74501-7520
Phone number: 580-298-9818
Mailing Address
JENNIFER J WALLACE COTA/L
101 OKLAHOMA
MCALESTER, OK 74501-7520
Phone number: 918-421-3935
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