Individual
DINA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SW 104TH ST, OKLAHOMA CITY, OK 73159-7661
(405) 735-6222
Mailing address
1500 SW 104TH ST, OKLAHOMA CITY, OK 73159-7661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5139
OK
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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