Individual
TERRI STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
3027 S NEW HAVEN AVE, TULSA, OK 74114-6131
(918) 625-4179
(918) 746-6341
Mailing address
3027 S NEW HAVEN AVE, TULSA, OK 74114-6131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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