Individual
MACKENZIE LYNN WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9900 BROADWAY EXT STE 104, OKLAHOMA CITY, OK 73114-6323
(405) 254-7578
Mailing address
9900 BROADWAY EXT STE 104, OKLAHOMA CITY, OK 73114-6323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5380
OK
Other
Enumeration date
09/26/2017
Last updated
01/23/2023
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