| NPI | 1376882738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH FUKSA President 580-234-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 1085) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 3116) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |