NPI | 1063715530 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON RATERMANN Physical Therapist/ Owner 918-353-2309 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3886) |
Enumeration Date | 2010-12-06 |
Last Update Date | 2010-12-06 |