| NPI | 1215266671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SUE CLARK Owner 405-513-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK 821) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2015-09-01 |