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NPI Code Detail

MEDICARE: JENNIFER GILPIN

MEDICARE: JENNIFER GILPIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant1347OK

General Provider Information

NPI Number : 1568839462
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GILPIN
Provider Business Mailing Address
First Line : 1310 E CLEVELAND AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-4829
Country : US
Telephone Number : 888-873-4221
Fax Number :
Provider Business Practice Location Address
First Line : 1310 E CLEVELAND AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-4829
Country : US
Telephone Number : 888-873-4221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2015
Last Update Date : 08/26/2015

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Directions to “ JENNIFER GILPIN ” Practice Location

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