Individual
KRISTIAN BLAKE WEICHBRODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
1810 N PERKINS RD, STILLWATER, OK 74075-2992
(405) 624-6592
Mailing address
7 YELLOW BRICK DR, STILLWATER, OK 74074-1720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3079
OK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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