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Individual

MR. THOMAS JOSEPH STOLUSKY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6214
(918) 342-6598
Mailing address
14615 E 460 RD, CLAREMORE, OK 74017-0989
(918) 341-8897

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3745
OK

Other

Enumeration date
12/30/2005
Last updated
07/08/2007
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