| NPI | 1487833885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI HARRIS Director 405-609-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2020-03-10 |