Individual
MARY ROSE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 286-7623
Mailing address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2152
OK
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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