JACOB LIVELY

MOORE, OK
NPI1407447998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
JACOB LIVELY
526 SW 4TH ST STE 200
MOORE, OK 73160-5409
Phone number: 405-759-2700
Mailing Address
JACOB LIVELY
526 SW 4TH ST STE 200
MOORE, OK 73160-5409
Phone number: 405-759-2700
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