Individual
STACI BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 601-4303
Mailing address
4821 N INDEPENDENCE AVE, OKLAHOMA CITY, OK 73112-5948
(402) 276-5587
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2702
OK
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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