Individual
MRS. KELLY JO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(918) 806-0106
Mailing address
3422 S 76TH WEST AVE, TULSA, OK 74107-4538
(918) 850-7295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2614
OK
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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