| Elisabeth Wilson, PT | |
|
500 E 141st St, Glenpool, OK 74033-3524 | |
| (812) 628-3060 | |
| (918) 322-3875 |
| Full Name | Elisabeth Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 500 E 141st St, Glenpool, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134812886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 6306 (Oklahoma) | Primary |
| Provider Name | Redbud Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710437306 PECOS PAC ID: 4486939949 Enrollment ID: O20170323001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Wilson, PT 500 E 141st St, Glenpool, OK 74033-3524 Ph: (918) 322-3884 | Elisabeth Wilson, PT 500 E 141st St, Glenpool, OK 74033-3524 Ph: (812) 628-3060 |
Tressie Platt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 141st St, Glenpool, OK 74033 Phone: 918-382-3884 | |
Leah Riffle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 148 W Main St Ste B, Glenpool, OK 74033 Phone: 918-321-0037 | |
Casey Covington, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 141st St, Glenpool, OK 74033 Phone: 918-322-3884 | |
Mr. Monty L Ward, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12100 S Yukon Ave Ste D, Glenpool, OK 74033 Phone: 918-992-6247 Fax: 539-867-7065 | |
Morgan Hansen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 E 141st St, Glenpool, OK 74033 Phone: 918-322-3884 Fax: 918-322-3875 |