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Individual

MR. JONATHAN B. WILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6767 S YALE AVE STE B, TULSA, OK 74136-3302
(918) 494-3000
(918) 494-0003
Mailing address
8011 S SHERIDAN RD UNIT B, SQUARE ONE SHOPPING CENTER, TULSA, OK 74133-8950
(918) 481-3390
(918) 481-3510

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1525
OK

Other

Enumeration date
07/25/2007
Last updated
07/21/2022
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