| NPI | 1134152036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL E MOORAD Medical Director 405-636-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OK 10853) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |