MICAH JEROD LITTLEJOHN

VINITA, OK
NPI1902035207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1741)
Enumeration Date2009-07-08
Last Update Date2009-07-08
Business Address
Mr. MICAH JEROD LITTLEJOHN PTA
715 N BREWER ST
VINITA, OK 74301-1426
Phone number: 918-256-9207
Mailing Address
Mr. MICAH JEROD LITTLEJOHN PTA
616 MEADOWLARK LN
COMMERCE, OK 74339-3147
Phone number: 918-533-4292
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