Individual
CAROL ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6565 S YALE AVE, SUITE 200, TULSA, OK 74136-8378
(918) 488-6888
Mailing address
5526 E 46TH ST, TULSA, OK 74135-6719
(918) 519-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT624
OK
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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