Organization
STARS AND STRIPES THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE L MATHEWS (PRESIDENT)
(580) 483-5890
Entity
Organization
Contact information
Practice address
713 SW C AVE STE A, LAWTON, OK 73501-4311
(580) 699-2277
Mailing address
713 SW C AVE STE A, LAWTON, OK 73501-4311
(580) 699-2277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/24/2020
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