Individual
MELISSA M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
22087 BLACK WALNUT CIR, EDMOND, OK 73012-4228
(405) 880-5120
(405) 212-5093
Mailing address
10212 NE 144TH ST, JONES, OK 73049-0089
(405) 819-8014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3798
OK
Other
Enumeration date
06/12/2006
Last updated
05/03/2023
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