Individual
STEVEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6800 S GRANITE AVE, TULSA, OK 74136-7039
(918) 491-5200
Mailing address
8601 S MINGO RD APT 6203, TULSA, OK 74133-4644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2956
OK
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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