Individual
CHRISTY L WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1004 N 19TH AVE, BLDG #4, DURANT, OK 74701-3016
(580) 931-3300
(580) 931-3301
Mailing address
2232 W HOUSTON ST, BROKEN ARROW, OK 74012-3529
(918) 259-9522
(918) 259-9521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3098
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200131840A
—
OK
Enumeration date
02/15/2008
Last updated
04/30/2015
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