| NPI | 1215515093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE TIMOTHY BROWN Physical Therapist 918-973-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-03-31 |