MARCUS STEVEN STACY

GROVE, OK
NPI1245816776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  3002)
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
MARCUS STEVEN STACY
1001 E 18TH ST
GROVE, OK 74344-2907
Phone number: 918-786-2243
Mailing Address
MARCUS STEVEN STACY
425 14TH AVE NE
MIAMI, OK 74354-3423
Phone number: 918-533-7454