| NPI | 1053565853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LONG President 918-740-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK 3890) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |