Rebecca Wilson, PTA

NPI #1235511544 in Shawnee, Oklahoma

Provider Information

NPI Number: 1235511544
Entity Type: Individual
Name: Rebecca Wilson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 23, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 412 N BROADWAY AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-6922
Phone: (405) 273-1523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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