Individual
WOODROW SCOTT CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 371-2392
Mailing address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 371-2392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2167
OK
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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