| NPI | 1417078668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HORN Owner 405-222-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 464) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: OK 464) |
| 225X00000X Occupational Therapist (Licence: OK 124) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-05-16 |