Jacquelyn Dove Payne, PTA
NPI #1447596358 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1447596358
- Entity Type
- Individual
- Name
- Jacquelyn Dove Payne, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 20, 2012
- Last Updated
- Dec 20, 2012
Practice Location
- Address
- 4300 W HOUSTON ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4519
- Phone
- (918) 307-0233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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