Individual
JESSICA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4329 S PEORIA AVE STE 320, TULSA, OK 74105-3936
(918) 794-9000
Mailing address
PO BOX 721018, NORMAN, OK 73070-4786
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5825
OK
Other
Enumeration date
05/22/2020
Last updated
10/27/2022
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