| NPI | 1063250959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN BROOKE SMITH Physical Therapist 918-916-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |