Mary Kathleen Staley, P.T.

NPI #1104030113 in Tulsa, Oklahoma

Provider Information

NPI Number: 1104030113
Entity Type: Individual
Name: Mary Kathleen Staley, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 744 W 9TH ST
Address 2: REHAB MEDICINE DEPT (H205)
City: Tulsa
State: Oklahoma
ZIP Code: 74127-9020
Phone: (918) 599-5190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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