Ralph Frederick Jerome, PT Valid NPI
Individual provider · Physical Therapist · Mannford, OK
- NPI
- 1992829360
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 2974 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-19
- Last updated
- 2021-10-15
Practice location
112 Evans Avenue
Mannford, OK 74044
(918) 865-7020