WAYLON GENE KOEHLER

LAWTON, OK
NPI1952554859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  TA1713)
Enumeration Date2008-10-23
Last Update Date2008-10-23
Business Address
Mr. WAYLON GENE KOEHLER PTA
602 SE WALLOCK ST
LAWTON, OK 73501-5444
Phone number: 580-585-5577
Mailing Address
Mr. WAYLON GENE KOEHLER PTA
602 SE WALLOCK ST
LAWTON, OK 73501-5444
Phone number: 580-585-5577
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