Individual
TABOR WESLEY GAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11420 BLONDO ST STE 103, OMAHA, NE 68164-3858
(402) 509-5532
Mailing address
4743 S WACO AVE, TULSA, OK 74107-7844
(504) 600-2063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5881
OK
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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