Tammy Sue Wagoner
Tammy Sue Wagoner is a Physical Therapist in Private Practice in Tulsa, Oklahoma. Qualified in 1994, 32 years ago. Practices with Tulsa Bone and Joint Associates PC, a 91-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 32
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
4802 S 109th East AveTulsa, OK 74146-5822
Phone: (918) 392-1513
Fax: (918) 392-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 2175 (OK) |
|---|
Record details
| NPI number | 1174278527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 4802 S 109th East Ave, Tulsa, OK 74146-5822 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | Tulsa Bone And Joint Associates Pc — 91 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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