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Individual

MRS. HOLLY WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2211 N 14TH ST, PONCA CITY, OK 74601-1841
(580) 765-0101
Mailing address
1103 N 7TH ST, TONKAWA, OK 74653-1519
(580) 749-0001

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5991
OK
225100000X
Physical Therapist
Primary
5991
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5991
OK
Enumeration date
06/18/2021
Last updated
05/04/2026
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