Organization
MIND BODY & SOUL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA JEAN WARD RPT (OWNER/PHYSICAL THERAPIST)
(918) 577-5088
Entity
Organization
Contact information
Practice address
1400 E OKMULGEE ST, MUSKOGEE, OK 74403-5644
(918) 577-5088
Mailing address
1400 E OKMULGEE ST, MUSKOGEE, OK 74403-5644
(918) 577-5088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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