Individual
TANNER ELISE WINTERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
34637 AIRLINE RD, PAULS VALLEY, OK 73075-8583
(918) 238-7000
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6168
OK
Other
Enumeration date
06/23/2022
Last updated
08/07/2022
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