Individual
MRS. LETA WILLCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 S FRANKFORT AVE STE 4B, TULSA, OK 74120-2428
(918) 691-6532
Mailing address
1124 S COLUMBIA AVE, TULSA, OK 74104-3929
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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