| NPI | 1134588791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN COLLIER PETERSON Owner 405-230-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 076040) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |