Individual
TYLER JUSTIN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 MEMORIAL DR, CHEROKEE, OK 73728-3832
(580) 596-2141
Mailing address
108 KIMBERLY DR, EDMOND, OK 73003-2376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4595
OK
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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