Individual
STEPHANIE DAWN LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L.ATP
Contact information
Practice address
408 S MUSTANG RD, YUKON, OK 73099-6992
(405) 410-8814
Mailing address
5616 TIGER STONE DR, MUSTANG, OK 73064-7277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2346
OK
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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