MIRANDA SUE WISELEY

MIAMI, OK
NPI1881364560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  2190)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
MIRANDA SUE WISELEY COTA/L
13300 S HIGHWAY 125
MIAMI, OK 74354-5123
Phone number: 918-676-6884
Mailing Address
MIRANDA SUE WISELEY COTA/L
13300 S HIGHWAY 125
MIAMI, OK 74354-5123
Phone number: 918-676-6884