| NPI | 1437459096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY C BOSS Director, Billing & Credentialing 405-747-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR E6411) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |