Jessica Wilson, PTA

NPI #1104667856 in Muskogee, Oklahoma

Provider Information

NPI Number: 1104667856
Entity Type: Individual
Name: Jessica Wilson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 5, 2024
Last Updated: Jun 5, 2024

Practice Location

Address: 2244 E SHAWNEE RD
City: Muskogee
State: Oklahoma
ZIP Code: 74403
Phone: (918) 684-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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