Organization
STOVER PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON A STOVER III (OWNER)
(405) 735-2270
Entity
Organization
Contact information
Practice address
10400 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6907
(405) 735-2270
(405) 735-2273
Mailing address
PO BOX 890178, OKLAHOMA CITY, OK 73189-0178
(405) 735-2270
(405) 735-2273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2275
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829788500
DEP OF LABOR
—
05
—
200116740A
—
OK
Enumeration date
01/17/2007
Last updated
10/30/2017
Update your record
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