Jennifer D Sweatt
Physical Therapy Assistant
112 Evans Ave
Mannford
, Oklahoma 74044
Jennifer D Sweatt
Physical Therapy Assistant
112 Evans Ave
Mannford
, Oklahoma 74044
(918) 865-7039
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jennifer D Sweatt
- Po Box 361
- Mannford, OK
- Zip : 74044-0361
- Fax : (918) 865-7039
- Phone : (918) 865-7020
Second Address
- Jennifer D Sweatt
- 112 Evans Ave
- Mannford, OK
- Zip : 74044
- Fax : (918) 865-7039
- Phone : (918) 865-7020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 3075 | OK |
National Provider Identifier
| NPI | 1013500701 |
|---|---|
| Provider Name | Jennifer D Sweatt |
| First Address | Mannford, OK 74044-0361 |
| Second Address | Mannford, OK 74044 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2021 |
| Last Update Date | 15/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3075 | OKLAHOLMA MEDICAL BOARD PTA LICENSE (01) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.