Individual
MRS. STACEY LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5909 BETHEL RD, SHAWNEE, OK 74804-0915
(972) 679-5874
(888) 467-4607
Mailing address
5909 BETHEL RD, SHAWNEE, OK 74804-0915
(972) 679-5874
(888) 467-4607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1168697
TX
225100000X
Physical Therapist
Primary
4777
OK
Other
Enumeration date
11/03/2006
Last updated
04/08/2020
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