Doctor Name: | MRS. JENNIFER RAE MCCLURE |
NPI Number: | 1285672311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 2675 |
Business Practice Address: | 1011 N Broadway St Suite 6 Tecumseh, OK - 748731431 |
Business Phone Number: | 4055982899 |
Business Fax Number: | 4055982833 |
Mailing Address: | 38042 Cabin Trl, SHAWNEE |
State: | OK |
Postal Code: | 748048600 |
Phone Number: | 4052757897 |
Fax Number: | 4055982833 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |