| NPI | 1124042809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANNE FLOWERETTE Owner 918-287-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-11-15 |