TAMMY SUE WAGONER

TULSA, OK
NPI1174278527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: OK  2175)
Enumeration Date2022-02-15
Last Update Date2022-02-15
Business Address
TAMMY SUE WAGONER
4802 S 109TH EAST AVE
TULSA, OK 74146-5822
Phone number: 918-392-1513
Mailing Address
TAMMY SUE WAGONER
4802 S 109TH EAST AVE
TULSA, OK 74146-5822
Phone number: 918-392-1513
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