PHILIP WAYNE GRIDER

NEWCASTLE, OK
NPI1770964298
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  4983)
Enumeration Date2015-06-10
Last Update Date2015-06-10
Business Address
-- PHILIP WAYNE GRIDER
3699 NW 32ND ST
NEWCASTLE, OK 73065-6559
Phone number: 405-387-5520
Mailing Address
-- PHILIP WAYNE GRIDER
3699 NW 32ND ST
NEWCASTLE, OK 73065-6559
Phone number: 405-387-5520