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 |