Individual
JOAN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 N GRAND BLVD, OKLAHOMA CITY, OK 73112-5647
(405) 778-6900
(405) 778-6914
Mailing address
5300 N GRAND BLVD, OKLAHOMA CITY, OK 73112-5647
(405) 778-6900
(405) 778-6914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
146
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181887401
—
TX
Enumeration date
01/25/2007
Last updated
05/17/2013
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