Individual
PHILLIP DAVID WHETSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 762-0927
Mailing address
3753 N 108TH ST, NARDIN, OK 74646-5072
(580) 363-8560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2343
OK
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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