Individual
TARA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1700 NW FORT SILL BLVD, LAWTON, OK 73507-4064
(580) 355-1616
Mailing address
14005 COUNTY ROAD 1484, APACHE, OK 73006-9705
(580) 730-1858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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