Individual
JACOB BENJAMIN STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
3030 NW EXPRESSWAY, SUITE 809, OKLAHOMA CITY, OK 73112-5474
(405) 917-7160
Mailing address
2800 NW 67TH ST, OKLAHOMA CITY, OK 73116-4611
(405) 286-0777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1371
OK
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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