Individual
STEPHANIE DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13301 N MERIDIAN AVE, BLDG 200, OKLAHOMA CITY, OK 73120-9369
(405) 843-5710
(405) 843-5720
Mailing address
801 ERINOVA DR, YUKON, OK 73099-2149
(405) 354-8690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2913
OK
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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