Organization
STRIDES PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE KENNEDY WILLIS MPT (OWNER)
(918) 928-4255
Entity
Organization
Contact information
Practice address
7738 N OWASSO EXPY, OWASSO, OK 74055
(918) 928-4255
(918) 928-4258
Mailing address
7738 N OWASSO EXPWY, OWASSO, OK 74055
(918) 928-4255
(918) 928-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/22/2019
Last updated
03/19/2021
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