Individual
TONYA LYNN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 E PEAK BLVD, MUSKOGEE, OK 74403-8515
(918) 683-0273
Mailing address
313 E PEAK BLVD, MUSKOGEE, OK 74403-8515
(918) 683-0273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3499
OK
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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