MR. Micah Jerod Littlejohn, PTA

NPI #1902035207 in Vinita, Oklahoma

Provider Information

NPI Number: 1902035207
Entity Type: Individual
Name: MR. Micah Jerod Littlejohn, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 8, 2009
Last Updated: Jul 8, 2009

Practice Location

Address: 715 N BREWER ST
City: Vinita
State: Oklahoma
ZIP Code: 74301-1426
Phone: (918) 256-9207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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