JENNIFER LEA SHORT

BROKEN ARROW, OK
NPI1881177863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  1419)
Enumeration Date2018-09-14
Last Update Date2018-09-14
Business Address
JENNIFER LEA SHORT COTA
701 S MAIN ST
BROKEN ARROW, OK 74012-5528
Phone number: 918-845-8641
Mailing Address
JENNIFER LEA SHORT COTA
2114 W WALNUT ST
COLLINSVILLE, OK 74021-1708
Phone number: 918-845-8641