Individual
JULIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15000 N DOUGLAS BLVD, JONES, OK 73049-3447
(405) 396-4774
(405) 396-4774
Mailing address
15000 N DOUGLAS BLVD, JONES, OK 73049-3447
(405) 396-4774
(405) 396-4774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1605
OK
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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