Individual
MARY LEE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
205 E B ST, JENKS PUBLIC SCHOOLS, JENKS, OK 74037-3906
(918) 299-4415
(918) 298-6647
Mailing address
11933 E 126TH ST, BROKEN ARROW, OK 74011-5230
(918) 369-3008
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT650
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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