Individual
DONNICA WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
617 S MAIN ST, EUFAULA, OK 74432-3301
(918) 423-2220
Mailing address
30026 S COUNTY ROAD 4320, STIGLER, OK 74462-3503
(918) 360-7340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3472
OK
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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