Individual
HEATHER ANN STAIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 E 61ST ST, TULSA, OK 74136-2119
(580) 795-3301
(580) 795-7307
Mailing address
105 N 5TH AVE, P.O. BOX 831, MADILL, OK 73446-1203
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4001
OK
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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