Provider Demographics
NPI:1023322070
Name:STEWARD, DANIEL FRANKLIN (ATC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:FRANKLIN
Last Name:STEWARD
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 S JAMESTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-1824
Mailing Address - Country:US
Mailing Address - Phone:918-851-7349
Mailing Address - Fax:
Practice Address - Street 1:7777 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74171-0003
Practice Address - Country:US
Practice Address - Phone:918-495-7968
Practice Address - Fax:918-495-7919
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer