Tyler Ray Wilson, OTR/L | |
900 E Airport Rd, Okmulgee, OK 74447-9082 | |
(918) 260-4613 | |
Not Available |
Full Name | Tyler Ray Wilson |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 900 E Airport Rd, Okmulgee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447986062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5687 (Oklahoma) | Primary |
Provider Name | Cherokee Nation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Tyler Ray Wilson, OTR/L 1116 S Xanthus Pl, Tulsa, OK 74104-3812 Ph: (918) 260-4613 | Tyler Ray Wilson, OTR/L 900 E Airport Rd, Okmulgee, OK 74447-9082 Ph: (918) 260-4613 |
Brandi Hignite, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 E 6th St, Okmulgee, OK 74447 Phone: 918-938-0887 | |
Paul Hailes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Airport Road, Okmulgee, OK 74447 Phone: 918-756-9211 Fax: 918-756-9452 | |
Impact Rehabilitation And Wellness Occupational Therapist Medicare: Medicare Enrolled Practice Location: 813 E 6th St Ste 300, Okmulgee, OK 74447 Phone: 918-756-3330 Fax: 918-756-3332 | |
Kristine Grunewald Siegenthaler, OTRL/CHT/CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 W 7th St, Okmulgee, OK 74447 Phone: 918-756-3330 Fax: 918-756-3332 |