Individual
STEPHANIE LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8710
(405) 573-6768
Mailing address
34637 AIRLINE RD, PAULS VALLEY, OK 73075-8583
(405) 238-7000
(405) 238-7005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4810
OK
Other
Enumeration date
08/04/2014
Last updated
02/27/2024
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