| NPI | 1477217016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYE DEE WATTS Billing Specialist 405-286-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-11-08 |