| NPI | 1528254711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ALLEN PHILLIPS Manager / Owner 405-609-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK OCCUPATIONAL THERAPY) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK COTA/L) |
| 225100000X Physical Therapist (Licence: OK PHYSICAL THERAPIST) | |
| 225200000X Physical Therapy Assistant (Licence: OK PTA) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |