Individual
MRS. REBECCA JULIA STOKLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3219 S 79TH EAST AVE, TULSA, OK 74145-1343
(918) 663-8183
Mailing address
300 W KEYWEST ST, BROKEN ARROW, OK 74011-5037
(918) 451-6134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT555
OK
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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