NPI 1093448656
Jessica Marie White, PTA
Practice location
- Address
- 701 S Main St, Broken Arrow, OK 74012-5528
- Phone
- (918) 259-5700
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1093448656
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jul 2022
- Record last updated
- 1 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.