| NPI | 1154971323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MILLET Owner 918-645-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-03-24 |