| NPI | 1083183883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER 'KITT' J WAKELEY Owner 405-550-1750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 103T00000X Psychologist |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-30 |