| NPI | 1528593811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANAH PATT VP 405-609-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 225700000X Massage Therapist | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-03-22 |