LIFE RESTORATION PLACE LLC

OKLAHOMA CITY, OK
NPI1225702996
Entity TypeOrganization
Authorized ContactLEE GERMANY
Physician Assistant
405-488-7543
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies101YP2500X Counselor, Professional
171M00000X Case Manager/Care Coordinator
224Z00000X Occupational Therapy Assistant
225100000X Physical Therapist
225200000X Physical Therapy Assistant
225700000X Massage Therapist
225X00000X Occupational Therapist
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2021-08-05
Last Update Date2021-08-05
Business Address
LIFE RESTORATION PLACE LLC
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103-2425
Phone number: 405-504-5433
Mailing Address
LIFE RESTORATION PLACE LLC
14433 LOCUST ST
PIEDMONT, OK 73078-8910
Phone number: 405-488-7543