Individual
MS. JENNIFER ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
131 S FLOOD AVE, NORMAN, OK 73069-5463
(405) 321-1220
Mailing address
22898 180TH STREET, PURCELL, OK 73080-4316
(405) 473-6861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
36783
CA
225100000X
Physical Therapist
Primary
4017
OK
225100000X
Physical Therapist
PT 4017
OK
Other
Enumeration date
10/10/2007
Last updated
07/18/2025
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