Individual
TAMMY WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
39238 US HIGHWAY 271, WISTER, OK 74966-9018
(918) 413-0178
Mailing address
39238 US HIGHWAY 271, WISTER, OK 74966-9018
(918) 413-0178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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