| Doctor Name: | MARY LEE STEPHENS |
| NPI Number: | 1205045812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT650 |
| Business Practice Address: | 205 E B St Jenks Public Schools Jenks, OK - 740373906 |
| Business Phone Number: | 9182994415 |
| Business Fax Number: | 9182986647 |
| Mailing Address: | 11933 E 126th St, BROKEN ARROW |
| State: | OK |
| Postal Code: | 740115230 |
| Phone Number: | 9183693008 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |