Organization
STILLWATER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY CHRISTINE FARRIS (PTA)
(405) 624-6592
Entity
Organization
Contact information
Practice address
1810 N PERKINS RD, STILLWATER, OK 74075-2992
(405) 624-6592
Mailing address
1015 E MAPLE ST, CUSHING, OK 74023-2821
(918) 306-1806
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1235
OK
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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