| NPI | 1013520733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A MANNING Owner 405-706-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |