Individual
MRS. WENDY DAWN ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
221 BLAKE BLVD, GOLDSBY, OK 73093-1003
(405) 288-0118
Mailing address
221 BLAKE BLVD, GOLDSBY, OK 73093-1003
(405) 288-0118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1055
OK
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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