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Individual

DANIEL STOCKTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPTA

Contact information

Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 824-7770
(918) 824-6307
Mailing address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 824-7770
(918) 824-6307

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
264
OK

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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