| NPI | 1235920620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALYN HOOTEN Owner/Founder 405-517-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-07-01 |