Individual
SEAN D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2424 E 21ST ST, STE 400, TULSA, OK 74114-1711
(918) 743-9235
(918) 743-9234
Mailing address
2232 W HOUSTON ST, BROKEN ARROW, OK 74012-3529
(918) 259-9522
(918) 259-9521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2789
OK
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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