Individual
MRS. STEPHANIE ELIABETH LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3770
Mailing address
15908 BURKETT CIR, EDMOND, OK 73013-6226
(405) 919-5911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4710
OK
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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