Individual
LEAH DIANE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
101 N POST RD, MIDWEST CITY, OK 73130-3605
(405) 397-3550
Mailing address
10305 LYNDON RD, OKLAHOMA CITY, OK 73120-4203
(580) 393-1024
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5757
OK
Other
Enumeration date
06/16/2020
Last updated
02/07/2025
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