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Individual

MR. WESLEY SHANE WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
(580) 379-5829
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4354
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201092270A
OK
Enumeration date
07/29/2010
Last updated
11/21/2023
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