Individual
STEPHANIE HALLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY ST, MUSKOGEE, OK 74401-6245
(918) 681-7555
Mailing address
PO BOX 672, CHECOTAH, OK 74426-0672
(918) 798-2802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2850
BOARD OF PHYSICAL THERAPY
OK
Enumeration date
10/13/2017
Last updated
10/13/2017
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