Individual
MS. ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 E 8TH ST, TULSA, OK 74104-3429
(845) 891-6316
Mailing address
2854 E 8TH ST APT 3714, TULSA, OK 74104-7427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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