NPI | 1124654504 |
---|---|
Former Legal Business Name | GO THERAPY LLC |
Entity Type | Organization |
Authorized Contact | ASHLEY GRAHAM Occupational Therapist 405-501-1547 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2020-03-18 |
Last Update Date | 2021-02-25 |