Individual
MRS. STACEY DENEAN COLEMANHUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 MINER RD, LAWTON, OK 73503-4437
(580) 458-5600
Mailing address
10 NW FORT SILL BLVD, LAWTON, OK 73507-6667
(580) 284-9869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
773
OK
Other
Enumeration date
04/04/2007
Last updated
01/30/2024
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