| NPI | 1508070756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCLAND LESLEY LUSTER CEO President 405-740-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK PT2179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT2146) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |