Individual provider · Type 1 NPI

Jacquelyn Dove Payne, PTA

Physical Therapy Assistant · Broken Arrow, OK

NPI number 1447596358 Active

Practice location

4300 W Houston St
Broken Arrow, OK 74012-4519

Call (918) 307-0233 Map

Fax (918) 307-0233

Mailing address

4049 E 23rd St
Tulsa, OK 74114-3431

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X417 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1447596358

Jacquelyn Dove Payne, PTA's National Provider Identifier is 1447596358, issued on Dec 20, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 20, 2012.