Individual
JIMMY ROYCE STANTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4645 W GORE BLVD, SUITE E, LAWTON, OK 73505-6041
(580) 355-6785
(580) 355-6788
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3658
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1686
OK
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/20/2006
Last updated
10/18/2018
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