| NPI | 1053069591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ERIN HOWERTON Owner/Manager 918-995-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-12-27 |