| NPI | 1124345665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K RICH President 580-924-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OK 24887) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |