| NPI | 1265833842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA MALVASO HANCOCK Owner 405-826-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |