| NPI | 1043643042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT DAVIN ANDRADA Owner 405-655-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: OK 707) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2014-04-01 |