Individual
WENDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4157 S HARVARD AVE, TULSA, OK 74135-2631
(918) 392-7878
Mailing address
4157 S HARVARD AVE, TULSA, OK 74135-2631
(918) 392-7878
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4919
OK
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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