Individual
MRS. LOIS ANN UMDENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6136 S FULTON AVE, TULSA, OK 74136-2007
(918) 493-1618
Mailing address
6136 S FULTON AVE, TULSA, OK 74136-2007
(918) 493-1618
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
OT361
OK
Other
Enumeration date
03/23/2007
Last updated
07/09/2007
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