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Individual

STEPHEN J KABRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT CAE

Contact information

Practice address
4812 EAST 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Mailing address
4812 EAST 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT519
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100835860A
OK
Enumeration date
08/10/2006
Last updated
05/06/2011
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