| NPI | 1417641796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY HOSKINS Manager 405-206-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |