| NPI | 1467653428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN BROWN Physical Therapist Assistant 918-746-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1388) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |