Individual
KATHRYN LOUISE WESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3552
OK
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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