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Organization

STEVENS & DILLINGER PHYSICAL THERAPY SPECIALISTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY CLARK STEVENS P.T. (PHYSICAL THERAPIST)
(405) 610-7700
Entity
Organization

Contact information

Practice address
8851 E RENO AVE, SUITE 201, MIDWEST CITY, OK 73110-7724
(405) 610-7700
(405) 610-7676
Mailing address
PO BOX 30708, MIDWEST CITY, OK 73140-3708
(405) 610-7700
(405) 610-7676

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1583
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DG4179
RR MEDICARE
OK
Enumeration date
07/12/2006
Last updated
07/26/2012
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