| NPI | 1043405475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA S TANNER PT/Owner 405-878-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK PT1924) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2012-04-24 |