Individual
HAYLEE M STOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4808 S 109TH EAST AVE STE 100, TULSA, OK 74146-5822
(918) 392-1482
Mailing address
4808 S 109TH EAST AVE STE 100, TULSA, OK 74146-5822
(918) 392-1482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5492
OK
Other
Enumeration date
07/05/2018
Last updated
10/26/2018
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