| NPI | 1174396097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W BODKIN Owner / Physical Therapist 580-917-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |