Individual
WENDY S WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 E 81ST ST, SUITE 4824, TULSA, OK 74137-4250
(918) 638-5562
Mailing address
2809 W VANDALIA ST, BROKEN ARROW, OK 74012-9053
(918) 638-5562
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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