Individual
MR. MASTON BRADLEY WOLFE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6525 N MERIDIAN AVE, SUITE 311, OKLAHOMA CITY, OK 73116-1420
(405) 721-1115
(405) 728-1115
Mailing address
6525 N MERIDIAN AVE, SUITE 311, OKLAHOMA CITY, OK 73116-1420
(405) 721-1115
(405) 728-1115
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4004
OK
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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