Individual
STACY RENEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 W ELK AVE, DUNCAN, OK 73533-1827
(580) 251-8460
Mailing address
PO BOX 337, RATLIFF CITY, OK 73481-0337
(361) 816-8610
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2664
OK
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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