Individual
KENDRA STANALAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1165 BRENNER RD, SAPULPA, OK 74066-6141
(918) 224-0600
Mailing address
3738 E 82ND CT, TULSA, OK 74137-1603
(918) 851-4294
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
4019
OK
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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