| NPI | 1235156035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF M WOLFE Owner/President 405-330-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK PT 945) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT 3020) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2009-12-17 |