| NPI | 1477730158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN WALLS Owner/Physical Therapist 405-808-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OK 2776) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-09-03 |