Individual
STEPHANNIE S WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
503 N BROADWAY ST, TECUMSEH, OK 74873-2017
(405) 598-2899
(405) 598-2833
Mailing address
310 E TENNYSON AVE, TECUMSEH, OK 74873-4626
(405) 742-8430
(405) 598-2054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2603
PT LICENSE
OK
Enumeration date
09/10/2013
Last updated
01/16/2021
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