Individual provider · Type 1 NPI
Maellen Wilson
Orthopedic Physical Therapist · Shawnee, OK
Practice location
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 6826 (OK) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1760338735
Maellen Wilson's National Provider Identifier is 1760338735, issued on Mar 10, 2026. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Shawnee, OK. The record was last updated on Mar 10, 2026.