Individual
SHANA RENEE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3209 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4131
(405) 767-0534
(405) 767-0539
Mailing address
3209 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4131
(405) 767-0534
(405) 767-0539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138
OK
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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