Individual
AMBER STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 E ROGERS BLVD, SKIATOOK, OK 74070-1251
(918) 396-9799
Mailing address
10840 S 4070 RD, OOLOGAH, OK 74053-3856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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