Individual
STELLA AILEEN STUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8222 S YALE AVE, TULSA, OK 74137-2246
(918) 493-1200
Mailing address
3923 S TAMARACK PL, BROKEN ARROW, OK 74011-1379
(918) 704-5462
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1204
OK
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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