JACQUELYN DOVE PAYNE

BROKEN ARROW, OK
NPI1447596358
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  417)
Enumeration Date2012-12-20
Last Update Date2012-12-20
Business Address
-- JACQUELYN DOVE PAYNE PTA
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 918-307-0233
Mailing Address
-- JACQUELYN DOVE PAYNE PTA
4049 E 23RD ST
TULSA, OK 74114-3431
Phone number: 918-510-1270