Provider Demographics
NPI:1043623317
Name:JAMES, JENNIFER LEIGH (BS, PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEIGH
Last Name:JAMES
Suffix:
Gender:F
Credentials:BS, PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:700 NW 7TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1212
Mailing Address - Country:US
Mailing Address - Phone:405-609-3675
Mailing Address - Fax:800-506-3795
Practice Address - Street 1:3306 N KICKAPOO AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1702
Practice Address - Country:US
Practice Address - Phone:405-609-3675
Practice Address - Fax:800-506-3795
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK3045225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist