| 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 |