Darce Danae Wilde PTA

NPI 1194038893 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1194038893
Gender Female
Enumeration Date 07/22/2010
Last Updated 07/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1300 S COUNTRY CLUB RD
EL RENO OK, 73036-5304, US
Phone (405) 422-1291
Fax (405) 422-1294
Business Location
1300 S COUNTRY CLUB RD
EL RENO OK, 73036-5304, US
Phone (405) 422-1291
Fax (405) 422-1294
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 1888
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According to our database, Darce Danae Wilde PTA NPI is 1194038893, taxonomy code is 225200000X and license number is 1888, license state is located at Oklahoma. Darce Danae Wilde PTA physically located at 1300 S Country Club Rd, El Reno OK, 73036-5304. NPI Number Darce Danae Wilde PTA has the Individual type.

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1194038893 NPI number is provided on an as is basis without warranty of any kind. 1194038893 is maintained by the National Plan & Provider Enumeration System. The contents of Darce Danae Wilde PTA are for informational purposes only.