Individual
MADELINE KATE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
Mailing address
PO BOX 429, STIGLER, OK 74462-0429
(918) 869-1058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6601
OK
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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