Jacob Charles Thomas

NPI #1912504333 in Harrah, Oklahoma

Provider Information

NPI Number: 1912504333
Entity Type: Individual
Name: Jacob Charles Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 19629 NE 23RD ST
City: Harrah
State: Oklahoma
ZIP Code: 73045-9305
Phone: (405) 454-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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