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Jessa Lane, PTA

NPI 1518694785 · on the registry since 2022

Practice

Address
10908c N May Ave
Oklahoma City, OK 73120
Phone
(405) 297-4500
Organisation at this address
Ptc Of Village Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma