| NPI | 1225447634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M HOLLAND President 405-308-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 3846) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-11-04 |