Individual
STEPHANIE GRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
20033 S WELLING RD, WELLING, OK 74471-2028
(918) 510-5098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6140
OK
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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