Individual
JOE WESLEY HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3164
(918) 458-3511
Mailing address
PO BOX 1769, TAHLEQUAH, OK 74465-1769
(918) 696-6147
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RC161
OK
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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