CANDACE JOANN WILDER

MUSKOGEE, OK
NPI1518181916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  pta532)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
Mrs. CANDACE JOANN WILDER pta
3310 CHANDLER RD
MUSKOGEE, OK 74403-4906
Phone number: 918-686-0646
Mailing Address
Mrs. CANDACE JOANN WILDER pta
214 W DURHAM PL
BROKEN ARROW, OK 74011-3457
Phone number: 918-455-5429
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