Individual
DAMON ANTHONY WILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5025 GAILLARDIA CORPORATE PL, OKLAHOMA CITY, OK 73142-1888
(405) 314-7137
Mailing address
1229 NW 104TH TER, OKLAHOMA CITY, OK 73114-5103
(617) 804-2040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4213
OK
Other
Enumeration date
03/29/2017
Last updated
07/14/2022
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