Individual
MS. STEPHANIE MARIE HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 S TRENTON AVE, TULSA, OK 74120-5418
(918) 845-6097
Mailing address
3000 W DETROIT ST, BROKEN ARROW, OK 74012-2160
(918) 845-6097
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
972
OK
282E00000X
Long Term Care Hospital
Primary
972
OK
Other
Enumeration date
08/26/2007
Last updated
08/26/2007
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