Individual
MRS. KRISTIN RAE WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
2434 S PEACEABLE RD, MCALESTER, OK 74501-2200
(918) 302-7790
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3068
OK
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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