IndividualActive
Maellen Wilson
NPI 1760338735 · Orthopedic Physical Therapist · Shawnee, OK
Provider details
- NPI number
- 1760338735
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6826 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone: (405) 964-5770
Approximate (ZIP-level) locationGet directions
Mailing address
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Registry dates
- Enumerated
- 2026-03-10
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.