NPI 1104667856

Jessica Wilson, PTA

Practitioner Physical Therapy Assistant Muskogee, OK

Practice location

Address: 2244 E Shawnee Rd, Muskogee, OK 74403
Phone: (918) 684-9999
Fax: (888) 663-4223

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1104667856
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2024
Record last updated: 5 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.