| NPI | 1104415819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACY G ISAAC Owner/Therapist 405-445-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-16 |