Individual
STEVE ZAGORODNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 682-5501
Mailing address
5214 S DELAWARE PL, TULSA, OK 74105-6629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2136
OK
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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