| NPI | 1033271655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L STANDRIDGE Owner 918-272-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: OK 2448) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-03-29 |