Individual
KRISTY DAWN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2154 S 85TH EAST AVE, TULSA, OK 74129-3012
(918) 622-4747
Mailing address
634 N CUMMINGS AVE, BARTLESVILLE, OK 74006
(918) 876-4434
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1176
OK
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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